Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 27734 | MN |
Y | 2080P0208X | Pediatric Infectious Diseases | 27734 | MN |
NPI | 1639145758 |
---|---|
Provider Name | Kiran K Belani |
First Address | Roseville, MN 55113 |
Second Address | Minneapolis, MN 55404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 24/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
293573200 | (05) | MN |
D82046 | (02) |