Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 20682 | MN |
NPI | 1053494542 |
---|---|
Provider Name | Kumud S Sane |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455-0356 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0055488 | (05) | MT |
0506253 | (05) | IA |
0802008 | PREFERRED ONE (01) | MN |
101511 | UCARE (01) | MN |
10387 | (05) | ND |
24043 | ARAZ (01) | MN |
2T316SA | BLUE CROSS BLUE SHIELD (01) | MN |
31548200 | (05) | WI |
33-13217 | MEDICA CHOICE (01) | MN |
33-72607 | MEDICA PRIMARY (01) | MN |
7777470 | (05) | SD |
A96196 | (02) | |
HP11367 | HEALTH PARTNERS (01) | MN |