Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 62020 | MN |
Y | 2080P0205X | Pediatric Endocrinologist | 62020 | MN |
NPI | 1427464379 |
---|---|
Provider Name | Akhila Ramakrishna |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2014 |
Last Update Date | 17/03/2018 |