Eden Prairie Clinic, Pa - Primary Care in Bloomington, MN

Eden Prairie Clinic, Pa is a primary clinic (Family Medicine) in Bloomington, Minnesota. The current practice location for Eden Prairie Clinic, Pa is 9358 Ensign Ave S, Suite C, Bloomington, Minnesota. For appointments, you can reach them via phone at (952) 944-6989. The mailing address for Eden Prairie Clinic, Pa is 9358 Ensign Ave S, Suite C, Bloomington, Minnesota and phone number is (952) 944-6989.

Eden Prairie Clinic, Pa is licensed to practice in * (Not Available) (license number ) and its NPI number is 1437459211. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (952) 944-6989.

Contact Information

Eden Prairie Clinic, Pa
9358 Ensign Ave S
Suite C
Bloomington
MN 55438-1472
(952) 944-6989
Not Available

Primary Care Clinic Profile

Full NameEden Prairie Clinic, Pa
SpecialityFamily Medicine
Location9358 Ensign Ave S, Bloomington, Minnesota
Authorized Official Name and PositionRadha Krishna Kumar (OWNER)
Authorized Official Contact9529446989
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eden Prairie Clinic, Pa
9358 Ensign Ave S
Suite C
Bloomington
MN 55438-1472

Ph: (952) 944-6989
Eden Prairie Clinic, Pa
9358 Ensign Ave S
Suite C
Bloomington
MN 55438-1472

Ph: (952) 944-6989

NPI Details:

NPI Number1437459211
Provider Enumeration Date10/27/2010
Last Update Date10/28/2010

Medical Identifiers

Medical identifiers for Eden Prairie Clinic, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437459211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207QA0000XFamily Medicine - Adolescent Medicine (* (Not Available))Secondary
207QA0505XFamily Medicine - Adult Medicine (* (Not Available))Secondary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary

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