Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 61812 | MN |
N | 111NI0900X | Internist | 61812 | MN |
N | 207R00000X | Internist | CLP02590 | RI |
N | 111NI0900X | Internist | CLP02590 | RI |
Y | 207RP1001X | Pulmonary Disease | 61812 | MN |
NPI | 1013271352 |
---|---|
Provider Name | Dr. Andrew Caraganis |
First Address | Minneapolis, MN 55455-4800 |
Second Address | Minneapolis, MN 55455-4800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2012 |
Last Update Date | 21/06/2021 |