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Contact Information

HARISH KORATKAR, BDS, MS
2500 COMO AVE
HEALTHPARTNERS COMO DENTAL SPECIALTY CLINIC
SAINT PAUL, MN55108-1460
 Phone: 925-489-9009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for HARISH KORATKAR · (Male)

NPI Number 1508986969
Status Active
Credentials BDS, MS
Entity Individual
Enumeration date 03/30/2007
Last updated 10/15/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 60400
  • MN Other 74G72KO BLUE CROSS BLUE SHIELD
  • MN Other 263626300 MN HEALTH CARE PROGRAM
Hospital affiliation(s) Not Available
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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