Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 69172 | MN |
N | 207YS0123X | Facial Plastic Surgeon | 69172 | MN |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 69172 | MN |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 69172 | MN |
NPI | 1245570910 |
---|---|
Provider Name | Shekhar K Gadkaree |
First Address | Minneapolis, MN 55455 |
Second Address | Saint Paul, MN 55130-5302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2013 |
Last Update Date | 14/05/2021 |