Search › Minnesota › 207RG0100X
Prakash Viswanathan, M.D
NPI 1649428574 · on the registry since 2008 · sole proprietor
Practice
- Address
- 9855 Hospital Dr Ste 102b
Maple Grove, MN 55369 - Phone
- (763) 581-5600
- Fax
- (763) 581-5601
- Organisation at this address
- North Memorial Health Care
Minnesota Diagnostic Imaging Partners, Llc
North Memorial Endoscopy Center At Maple Grove, Llc
North Memorial Ambulatory Surgery Center At Maple Grove, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207R00000X
207RG0100X
207RG0100X - Licence states on file
- NY, ME, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota