Bhoopal, Jaidev R

Bhoopal, Jaidev R is an individual health care provider with primary practice located at 400 E 3Rd St Essentia Health Duluth Clinic, Duluth MN 55805. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Bhoopal, Jaidev R can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Essentia Health Duluth Clinic Duluth MN 55805
Phone: (218) 786-8364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N0648 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 55855 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 55855 Minnesota
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 55855 Minnesota

Profile Details

NPI number 1962610956
LBN Legal business name Bhoopal, Jaidev R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Aug 6th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962610956 NPPES
Wisconsin MEDICAID 1962610956
Wisconsin Other 0004-0018721
Wisconsin MEDICAID 1962610956
Wisconsin MEDICAID 1975229-01

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