Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 215711 | MA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 104355 | MN |
N | 207XS0106X | Orthopaedic Hand Surgeon | 52260 | MN |
Y | 2086S0105X | Surgery of the Hand | 52260 | MN |
NPI | 1891960290 |
---|---|
Provider Name | Dr. Sanjeev Kakar |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2008 |
Last Update Date | 14/08/2020 |