Individual provider · NPI-1

Aditya Rani Dodla, MD

Family Medicine · Robbinsdale, MN

NPI number1851954994
StatusActive
Last updated in NPPESNov 29, 2022

Details

NPI
1851954994
Entity type
Individual (NPI-1)
Name
Aditya Rani Dodla
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 15, 2019
Certification date
Nov 29, 2022
Last updated
Nov 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine71533MNYes

Practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

Phone 763-520-5200

Mailing address

2810 Nicollet Ave
Minneapolis, MN 55408-4708

Phone 612-873-6963

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