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Contact Information

JAIDEV R BHOOPAL, MD
400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN55805
 Phone: 218-786-8364
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAIDEV R BHOOPAL · (Male)

NPI # 1962610956
Status Active
Credentials MD
Entity Individual
Enumeration date 05/21/2007
Last updated 08/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 55855
  • TX License # N0648
  • MN Medicaid 1962610956
  • TX Medicaid 1975229-01
  • WI Medicaid 1962610956
  • MN Other 0004-0018721 MEDICA
Hospital affiliation(s)
  • ESSENTIA HEALTH ST MARY'S MEDICAL CENTER - (Acute Care)
    407 EAST THIRD STREET
    DULUTH, MN 55805
  • MEMORIAL MED CTR - (Critical Access)
    1615 MAPLE LANE
    ASHLAND, WI 54806
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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