MRUDULA JAKKULA


Address: 2610 Central Ave Ne, Minneapolis, MN 55418-2911
Phone: 6127816816

MRUDULA JAKKULA (NPI# 1740237189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740237189
Entity Type Individual
Full Name MRUDULA JAKKULA
Credential PHYSICIAN,M.B.,B.S.
Practice Address 2610 Central Ave Ne
Minneapolis
MN 55418-2911
Practice Telephone 6127816816
Practice Fax Number 6127813837
Mailing Telephone 6127816816
Mailing Fax Number 6127813837
Enumeration Date 2006-05-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 38533 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 2610 CENTRAL AVE NE
City MINNEAPOLIS
State MN
Zip Code 55418-2911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679554836 Tamra L Johnston Family Medicine 2610 Central Ave Ne, Minneapolis, MN 55418-2911 2005-11-07
1740894526 Kelsey Narlock Pharmacist 2610 Central Ave Ne, Minneapolis, MN 55418-2911 2020-08-31
1548873532 Mohamed Sheikh Ahmed Pharmacist 2610 Central Ave Ne, Minneapolis, MN 55418-2911 2020-08-28
1063994085 Derek Douglas Borkowski Pharmacist 2610 Central Ave Ne, Minneapolis, MN 55418-2911 2018-09-06
1568855054 Carly Curry Nurse Practitioner 2610 Central Ave Ne, Minneapolis, MN 55418-2911 2015-03-09
1598199366 Eric Andrew Smith Physician Assistant 2610 Central Ave Ne, Minneapolis, MN 55418-2911 2013-08-28
1851306161 Walgreen Co Durable Medical Equipment & Medical Supplies 2610 Central Ave Ne, Minneapolis, MN 55418-2911 2006-07-29
1275574436 Allison Stolz Family Medicine 2610 Central Ave Ne, Minneapolis, MN 55418-2911 2006-06-09
1215990270 Ronald James Jankowski Family Medicine 2610 Central Ave Ne, Minneapolis, MN 55418-2911 2006-04-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295347854 Shining Light Skill Building LLC Psychologist 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 2020-08-17
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1154974913 Magnolia Home Healthcare LLC Durable Medical Equipment & Medical Supplies 951 Ne Lowry Ave #314, Minneapolis, MN 55418 2019-07-22
1255825345 Senzilla Health Services, LLC Clinic/Center 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 2018-06-21
1932642113 Allyson Plumberg Speech-Language Pathologist 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 2016-11-21
1053782961 Exel Mobility Inc Non-emergency Medical Transport (VAN) 2302 Central Avenue, Minneapolis, MN 55418 2015-10-19
1447620893 Bille Bus Transportation, Inc Non-emergency Medical Transport (VAN) 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 2015-09-29
1508242108 Caring Companions Home Health Care Home Health 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 2015-08-05
1477934438 Hybrid Behavioral Health Community/Behavioral Health 2221 Polk St Ne, Minneapolis, MN 55418 2015-06-16
1316343551 Hennepin Healthcare Systems, Inc Pharmacy 2714 County Rd 88, Minneapolis, MN 55418 2014-11-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861032054 David Gregg Internal Medicine 5305 Humboldt Ave S, Minneapolis, MN 55419 2020-01-15
1316454077 Independent Medical Clinic Pa Internal Medicine 2639 Nicollet Ave Ste 120, Minneapolis, MN 55408-1629 2018-01-03
1669905618 Joseph Douglas Steffens Internal Medicine 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 2017-04-06
1841650306 Megan Mcgovern Internal Medicine 701 Park Ave # O1.340, Minneapolis, MN 55415-1623 2016-02-26
1700266079 Jacob Wagner Internal Medicine D638 Mayo Building, 420 Delaware St Se, Minneapolis, MN 55455 2015-06-02
1659750503 Melissa Ann Plesac Internal Medicine 500 Harvard St Se # 741, Minneapolis, MN 55455 2015-05-26
1033503040 Elizabeth Stanton Teter Aby Internal Medicine 406 Harvard St Se # Mmc36, Minneapolis, MN 55455-0362 2015-03-27
1780002592 Annie M Jacobsen Internal Medicine 701 Park Avenue South--medicine, Hennepin County Medical Center, Minneapolis, MN 55415-1829 2014-03-31
1386066173 Michael Usher Internal Medicine 420 Delaware Street, Se, Mmc 741, Division of General Internal Medicine, Minneapolis, MN 55455 2014-01-13
1356684609 Anteneh Girma Zewde Internal Medicine 87 Orlin Ave Se, Minneapolis, MN 55414-3560 2013-04-04
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Competitor

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City MINNEAPOLIS
Zip Code 55418

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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