Supriya Varadarajulu, | |
3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 | |
(952) 993-3090 | |
Not Available |
Full Name | Supriya Varadarajulu |
---|---|
Gender | Female |
Speciality | Allergy/immunology |
Experience | 28 Years |
Location | 3800 Park Nicollet Blvd, Minneapolis, 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 |
---|---|---|---|
1780660969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 41348 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Supriya Varadarajulu, 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 Ph: (952) 993-3090 | Supriya Varadarajulu, 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 Ph: (952) 993-3090 |
Dr. Gregory Paul Gilmet, Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 401 Harding St Ne # 100, Minneapolis, MN 55413 Phone: 888-709-9344 | |
Dr. Philip C. Halverson, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1149, Minneapolis, MN 55402 Phone: 612-338-3333 Fax: 612-349-3838 | |
Gloria Sheng, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 651-220-6444 | |
Dr. Nancy Lorene Ott, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2535 University Ave Se, Minneapolis, MN 55414 Phone: 612-672-2350 | |
Rolf N Sigford, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454 Phone: 612-371-1600 Fax: 612-371-1732 | |
Joshua M Dorn, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
Masanao Takahashi, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2220 Riverside Ave, Mail Stop 31700a, Minneapolis, MN 55454 Phone: 612-371-1600 Fax: 612-371-1732 |