NPIRadar

Prasuna Gnana Dubagunta, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Glencoe, MN

NPI
1376573014
Type
Individual (Type 1)
Primary specialty
Internal Medicine Physician (Internal Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207R00000X
License number
64422 (MN)
Sex
Female
Sole proprietor
No
Enumerated
2006-07-04
Last updated
2020-11-24
Practice location
1805 Hennepin Ave N
Glencoe, MN 55336-1416
(320) 864-3121

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