Kavyamol Thyagarajan, DO | |
1835 Cty Rd C, Ste 150, Roseville, MN 55113-2723 | |
(763) 581-0340 | |
(763) 581-0346 |
Full Name | Kavyamol Thyagarajan |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 6 Years |
Location | 1835 Cty Rd C, Roseville, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942793740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125.072824 (Illinois) | Secondary |
207Q00000X | Family Medicine | 69960 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Memorial Health Care | 0042123028 | 474 |
Entity Name | North Memorial Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
Mailing Address | Practice Location Address |
---|---|
Kavyamol Thyagarajan, DO 611 W Park St, Urbana, IL 61801-2529 Ph: () - | Kavyamol Thyagarajan, DO 1835 Cty Rd C, Ste 150, Roseville, MN 55113-2723 Ph: (763) 581-0340 |
Keith Kenneth Krueger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2336 Lexington Ave N, Roseville, MN 55113 Phone: 651-631-0065 Fax: 651-631-0096 | |
Mrs. Michelle Elizabeth Easton, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 400, Roseville, MN 55113 Phone: 763-412-1993 | |
Dr. Alison J Forney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2831 Snelling Ave N, Roseville, MN 55113 Phone: 651-765-5900 Fax: 651-765-5901 | |
Dr. Foung Lo, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 2680 Snelling Ave N, Suite 200, Roseville, MN 55113 Phone: 651-326-1600 Fax: 651-326-1565 | |
Kari Lea Halvorson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2831 Snelling Ave N, Roseville, MN 55113 Phone: 952-967-6620 | |
Norman Tracy Wolf, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1955 County Road B2 W, Roseville, MN 55113 Phone: 651-635-0054 Fax: 651-635-0949 | |
Andrew N Nottleson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2831 Snelling Ave N, Roseville, MN 55113 Phone: 651-765-5900 Fax: 651-765-5901 |