Roopa Sharma, MD | |
1430 Highway 96 E, White Bear Lake, MN 55110-3653 | |
(651) 653-2100 | |
(651) 653-2125 |
Full Name | Roopa Sharma |
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Gender | Female |
Speciality | Pediatrics |
Location | 1430 Highway 96 E, White Bear Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699015024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 59807 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Roopa Sharma, MD 8170 33rd Ave S, Mail Stop 21110q, Minneapolis, MN 55425-4516 Ph: (651) 653-2100 | Roopa Sharma, MD 1430 Highway 96 E, White Bear Lake, MN 55110-3653 Ph: (651) 653-2100 |
Dr. Padma Pallavi Yarrapureddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
William Wedin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Howard J Stang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Hwy 96 E, Mail Stop 32300a, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2111 | |
Margaret Gast, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 | |
Dr. Kathleen Elizabeth Bauer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Elsa N Keeler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Hwy 96 E, Healthpartners Whine Bear Lake Clinic-mail Stop 32300a, White Bear Lake, MN 55110 Phone: 651-426-1980 Fax: 651-653-2111 |