Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 49832 | MN |
N | 111NI0900X | Internist | 49832 | MN |
Y | 207RH0000X | Hematologist | 49832 | MN |
N | 207RH0003X | Hematology & Oncology | 49832 | MN |
NPI | 1376727115 |
---|---|
Provider Name | Mrinal M Patnaik |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2007 |
Last Update Date | 19/08/2020 |