Pradeep Putlur, MD | |
9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | |
(763) 780-9155 | |
Not Available |
Full Name | Pradeep Putlur |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 9055 Springbrook Dr Nw, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760682058 | NPI | - | NPPES |
34918700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 50167 (Wisconsin) | Secondary |
207R00000X | Internal Medicine | 107806 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Pradeep Putlur, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Pradeep Putlur, MD 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 Ph: (763) 780-9155 |
Dr. Jaya Bhattarai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Zongyu J Chen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9145 Springbrook Dr, #200, Coon Rapids, MN 55433 Phone: 612-871-1145 Fax: 612-870-5491 | |
Amber Galarowicz, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Evan L Domeyer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, 100, Coon Rapids, MN 55433 Phone: 763-236-9400 Fax: 763-236-9423 | |
Natalia Yazigi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Linda Benjamin Soucie, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, 100, Coon Rapids, MN 55433 Phone: 763-236-9400 Fax: 763-236-9423 | |
Wendoly R Slattery, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 |