Malisetti, Rajini Katipamula

Malisetti, Rajini Katipamula is an individual health care provider with primary practice located at 11850 Blackfoot Nw Suite 100, Coon Rapids MN 55433-2569. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Malisetti, Rajini Katipamula can be contacted via phone (763) 721-2100.

Contact Information

Primary practice address
11850 Blackfoot Nw Suite 100 Coon Rapids MN 55433-2569
Fax: (763) 721-2190
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 47014 Minnesota

Profile Details

NPI number 1619941804
LBN Legal business name Malisetti, Rajini Katipamula
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Dec 20th, 2013 - about 13 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 1619941804 NPPES
Minnesota MEDICAID 115113400

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