Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | TRN14651 | FL |
N | 111NI0900X | Internist | TRN14651 | FL |
Y | 207RX0202X | Medical Oncology | 61400 | MN |
N | 207RX0202X | Medical Oncology | ME119738 | FL |
NPI | 1053639880 |
---|---|
Provider Name | Madhu Kumar Emani |
First Address | Saint Paul, MN 55114-1052 |
Second Address | Edina, MN 55435-2131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2010 |
Last Update Date | 10/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015708600 | (05) | FL |