National Provider Identifier Database

KOZHUVATTASSERI P MADHUSOODANAN, MD – NPI #1164505624
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Contact Information

KOZHUVATTASSERI P MADHUSOODANAN, MD
516 DELAWARE STREET SE CLINIC 3B
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN  55455
Phone: 612-625-3600
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for KOZHUVATTASSERI P MADHUSOODANAN

NPI Number 1164505624
Credentials MD
Entity Individual
Enumeration date 10/20/2006
Last updated 02/15/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 42532
  • IA Medicaid: 0534461
  • MN Medicaid: 128412600
  • ND Medicaid: 10387
  • SD Medicaid: 7777470
  • WI Medicaid: 34017700
  • Other: 1053385 ARAZ
  • Other: HP31284 HEALTHPARTNERS
  • Other: 25-00413 MEDICA CHOICE
  • Other: 25-00021 MEDICA PRIMARY
  • Other: 1024914 PREFERREDONE
  • Other: M011 TRIWEST/TRICARE
  • Other: 127916 UCARE
  • MN Other: 78R23MA BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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