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Contact Information

THENAPPAN THENAPPAN, MD
909 FULTON ST SE
MINNEAPOLIS, MN55455-4800
 Phone: 612-672-7422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THENAPPAN THENAPPAN · (Male)

NPI # 1508842048
Status Active
Credentials MD
Entity Individual
Enumeration date 12/16/2005
Last updated 06/17/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 106863
  • MN License # 57117
  • NC License # 200500494
  • NC Medicaid 5902350
  • NC Other 139T4 BCBS NC
Hospital affiliation(s)
  • ESSENTIA HEALTH ST MARY'S MEDICAL CENTER - (Acute Care)
    407 EAST THIRD STREET
    DULUTH, MN 55805
  • HEALTHEAST WOODWINDS HOSPITAL - (Acute Care)
    1925 WOODWINDS DRIVE
    WOODBURY, MN 55125
  • UNIVERSITY OF MINNESOTA MEDICAL CENTER FAIRVIEW - (Acute Care)
    2450 RIVERSIDE AVENUE
    MINNEAPOLIS, MN 55454
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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