Individual provider · NPI-1

Naveen Kumar Anantha, M.D.

Family Medicine · Robbinsdale, MN

NPI number1740547199
StatusActive
Last updated in NPPESOct 11, 2020

Details

NPI
1740547199
Entity type
Individual (NPI-1)
Name
Naveen Kumar Anantha
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 23, 2012
Certification date
Oct 11, 2020
Last updated
Oct 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine24052MSYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422

Phone 763-520-5200 · Fax 763-581-1555

Mailing address

2020 E 28th St
Smiley'S Clinic
Minneapolis, MN 55407

Phone 612-333-0770 · Fax 612-333-1986

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