Parvataneni, Mrunalini D

Parvataneni, Mrunalini D is an individual health care provider with primary practice located at 12000 Elm Creek Blvd N Ste 100 , Maple Grove MN 55369-7074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Parvataneni, Mrunalini D can be contacted via phone (763) 416-7600.

Contact Information

Primary practice address
12000 Elm Creek Blvd N Ste 100 Maple Grove MN 55369-7074
Phone: (763) 416-7600
Fax: (763) 416-7634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 44044 Minnesota

Profile Details

NPI number 1235117094
LBN Legal business name Parvataneni, Mrunalini D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Mar 17th, 2020 - about 6 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 1235117094 NPPES
Minnesota MEDICAID 964651500

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