Dr. Manjunath Mizar Pai
Internist Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
800 E 28th St Ste H2100
Minneapolis
, Minnesota 55407-3723
Dr. Manjunath Mizar Pai
Internist Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
800 E 28th St Ste H2100
Minneapolis
, Minnesota 55407-3723
(612) 262-5000
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About
Features
Specialties
- Internist
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Dr. Manjunath Mizar Pai
- 2925 Chicago Ave
- Minneapolis, MN
- Zip : 55407-1321
- Phone : (612) 262-5000
Second Address
- Dr. Manjunath Mizar Pai
- 800 E 28th St Ste H2100
- Minneapolis, MN
- Zip : 55407-3723
- Phone : (612) 863-6900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 247084 | MA |
| N | 111NI0900X | Internist | 247084 | MA |
| N | 207RC0000X | Internist - Cardiovascular Disease | 57-020724 | OH |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 62017 | MN |
National Provider Identifier
| NPI | 1225299845 |
|---|---|
| Provider Name | Dr. Manjunath Mizar Pai |
| First Address | Minneapolis, MN 55407-1321 |
| Second Address | Minneapolis, MN 55407-3723 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2008 |
| Last Update Date | 11/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110089084A | (05) | MA |
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.