Suchitra Rondla, MBBS | |
3585 Lexington Avenue North, Suite 350, Shoreview, MN 55126-8056 | |
(651) 494-3942 | |
(651) 787-0519 |
Full Name | Suchitra Rondla |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3585 Lexington Avenue North, Shoreview, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326007659 | NPI | - | NPPES |
395421800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 48207 (Minnesota) | Primary |
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 |
---|---|
Suchitra Rondla, MBBS 3585 Lexington Avenue North, Suite 350, Shoreview, MN 55126-8056 Ph: (651) 251-5280 | Suchitra Rondla, MBBS 3585 Lexington Avenue North, Suite 350, Shoreview, MN 55126-8056 Ph: (651) 494-3942 |
James Michael Marquardt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3585 Lexington Avenue North, Suite 350, Shoreview, MN 55126 Phone: 651-484-3942 Fax: 651-787-0519 | |
Thresiamma Augustine Joseph, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3585 Lexington Ave N, Ste 350, Shoreview, MN 55126 Phone: 651-484-3942 Fax: 651-787-0519 | |
Wendy Marion Nelms Mccabe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3585 Lexington Ave N, Suite 350, Shoreview, MN 55126 Phone: 651-484-3942 Fax: 651-787-0519 | |
Mrs. Elizabeth Rose Hofbauer, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 | |
Margaret Jean Hustad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3585 Lexington Ave N, Suite 350, Shoreview, MN 55126 Phone: 651-484-3942 Fax: 651-787-0519 | |
Janice Chua Go, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3585 Lexington Ave N, Suite 350, Shoreview, MN 55126 Phone: 651-484-3942 Fax: 651-787-0519 |