Individual provider · NPI-1

Maithiri Amararajan, MD

Family Medicine · Minot, ND

NPI number1639805245
StatusActive
Last updated in NPPESAug 3, 2022

Details

NPI
1639805245
Entity type
Individual (NPI-1)
Name
Maithiri Amararajan
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2022
Certification date
Aug 3, 2022
Last updated
Aug 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineRL18466NDYes

Practice location

1201 11th Ave Sw
Minot, ND 58701-4207

Phone 701-858-6700

Mailing address

1201 11th Ave Sw
Minot, ND 58701-4207

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