Clifford E Kashtan
Pediatric Nephrologist
516 Delaware St Se Pwb Fourth Floor, Room 4-100
Minneapolis
, Minnesota 55455
Clifford E Kashtan
Pediatric Nephrologist
516 Delaware St Se Pwb Fourth Floor, Room 4-100
Minneapolis
, Minnesota 55455
(612) 626-6777
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Clifford E Kashtan
- 420 Delaware St Se University Of Minnesota Physicians Mmc 491
- Minneapolis, MN
- Zip : 55455
- Phone : (612) 626-6777
Second Address
- Clifford E Kashtan
- 516 Delaware St Se Pwb Fourth Floor, Room 4-100
- Minneapolis, MN
- Zip : 55455
- Phone : (612) 626-6777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | 28733 | MN |
National Provider Identifier
| NPI | 1699863274 |
|---|---|
| Provider Name | Clifford E Kashtan |
| First Address | Minneapolis, MN 55455 |
| Second Address | Minneapolis, MN 55455 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0012699 | (05) | MT |
| 0506212 | (05) | IA |
| 052035 | FAIRVIEW CARE GIVER ID (01) | MN |
| 1009162 | PREFERRED ONE (01) | MN |
| 101069 | U CARE (01) | MN |
| 109962 | PATIENT CHOICE (01) | MN |
| 2105760 | (05) | OH |
| 2T289KA | BLUE CROSS BLUE SHIELD (01) | MN |
| 30852900 | (05) | WI |
| 31-24906 | MEDICA-CHOICE (01) | MN |
| 31-74533 | MEDICA-PRIMARY (01) | MN |
| 370010935 | RAIL ROAD MEDICARE (01) | MN |
| 629885100 | (05) | MN |
| 768184 | AMERICA'S PPO (01) | MN |
| D81959 | (02) | |
| HP13656 | HEALTH PARTNERS (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.