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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PRAKASH VISWANATHAN, M.D.

Active Sole Proprietor

DR. PRAKASH VISWANATHAN, M.D. is a Gastroenterology healthcare provider located in MAPLE GROVE, Minnesota. NPI 1649428574 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · MAPLE GROVE, MN

Registration Details

NPI Number
1649428574
Provider Type
Individual
Gender
Male
NPI Issued
Sep 4, 2008 (17.915435597329 yrs)
Last Updated
Jul 21, 2022
Licenses
250191 (NY)
250191 (NY)
MD23388 (ME)
62460 (MN)
Sole Proprietor
Yes

Practice Information

Address
9855 HOSPITAL DR STE 102B
MAPLE GROVE, MN, 553695021
Browse MN providers · Browse ZIP 55369
Phone
7635815600
Fax
7635815601
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Gastroenterology
Additional Specialty
Gastroenterology
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in MAPLE GROVE, MN

Name Credential NPI
PETE ALBERT POOLER MD 1164451662
DR. KARIN SOBY GILKISON M.D./M.P.H. 1033435474
DR. SARATH VASANTH KRISHNAN M.D. 1841596152
CHRISTOPHER STEEVENS M.D. 1992094064
SUHAG MAHESHBHAI PATEL M.D. 1053608687
DR. ARUNKUMAR MUTHUSAMY MD 1861745507
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.