Vidu Bala Mokkala is a Specialist in Fridley, Minnesota. Vidu Bala Mokkala practices all healthcare services and medical treatments related to Specialist. The NPI Number for Vidu Bala Mokkala is 1396918207. The last update date is 2020-11-10.
Vidu Bala Mokkala's current location address is 550 Osborne Rd Ne, Fridley, Minnesota. You can contact this provider via phone number 7632363518. The mailing address for Vidu Bala Mokkala is 550 Osborne Rd Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vidu Bala Mokkala |
|---|---|
| Address | 550 Osborne Rd Ne, Fridley, Minnesota |
| Phone Number | 7632363518 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396918207 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2020-11-10 |
Provider Mailing Address Detail
| Address | 550 Osborne Rd Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554322718 |
| Phone Number | 7632363518 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 207R00000X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Vidu Bala Mokkala's 1396918207?
The Vidu Bala Mokkala's NPI (National Provider Identifier) Number is 1396918207. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Vidu Bala Mokkala is physically located?
The Vidu Bala Mokkala is situated at the following address: 550 Osborne Rd Ne, Fridley, MN 554322718.
What is the Vidu Bala Mokkala's specialty and taxonomy code?
The Vidu Bala Mokkala's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date was the 1396918207 assigned to Vidu Bala Mokkala?
The Vidu Bala Mokkala was issued its 1396918207 on 2008-04-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Vidu Bala Mokkala's information last updated?
The Vidu Bala Mokkala's information was last updated on 2020-11-10.