Southdale Pediatric Associates, Ltd
Clinic/Center, Multi-Specialty in Edina, MN. Organization (NPI-2).
NPI number1245305895
StatusActive
Last updated in NPPESOct 14, 2026
Details
- NPI
- 1245305895
- Entity type
- Organization (NPI-2)
- Legal business name
- Southdale Pediatric Associates, Ltd
- Organization subpart
- No
- Enumeration date
- Nov 21, 2006
- Certification date
- Oct 14, 2026
- Last updated
- Oct 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | 196 | MN | Yes |
Practice location
6600 France Ave S Ste 300Edina, MN 55435-1803
Phone 952-278-7000 · Fax 952-831-2388
Mailing address
6600 France Ave S Ste 315Edina, MN 55435-1805
Phone 952-831-1944 · Fax 952-278-6947
Other practice locations
6600 France Ave S Ste 310
Edina, MN 55435-1803
Edina, MN 55435-1803
Phone 952-278-7010 · Fax 952-831-2388
501 E Nicollet Blvd Ste 200
Burnsville, MN 55337-6785
Burnsville, MN 55337-6785
Phone 952-278-7000 · Fax 952-898-5914
11095 Viking Dr Ste 250
Eden Prairie, MN 55344-7229
Eden Prairie, MN 55344-7229
Phone 952-278-7000 · Fax 952-949-0899
Authorized official
Saira Mitha
President
9528311944
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