PRAMOD S KELKAR (NPI# 1154335990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154335990 |
| Entity Type | Individual |
| Full Name | PRAMOD S KELKAR |
| Credential | M.D. |
| Practice Address |
12000 Elm Creek Blvd N Ste 360 Maple Grove MN 55369-7076 |
| Practice Telephone | 7634201010 |
| Practice Fax Number | 7634203710 |
| Mailing Telephone | 7634201010 |
| Mailing Fax Number | 7634203710 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
41948 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS AND BLUE SHIEL | 294M9KE | 01 |
| MN | UCARE | 128142F031 | 01 |
| MN | HEALTHPARTNERS | HP40994 | 01 |
| MN | AMERICAS PPO | 1892372 | 01 |
| MN | RAILROAD MEDICARE | P00204492 | 01 |
| MN | MEDICA | 0200201 | 01 |
| MN | 038588300 | 05 | |
| MN | PREFERREDONE | 677941040910 | 01 |
| Street Address |
12000 ELM CREEK BLVD N STE 360 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-7076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023022613 | Richard John Morris | Allergy & Immunology | 12000 Elm Creek Blvd, Suite 200, Maple Grove, MN 55369-7073 | 2006-07-28 |
| 1952315509 | Thomas J Helm | Allergy & Immunology | 12000 Elm Creek Blvd, Suite 360, Maple Grove, MN 55369-7076 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265802052 | Integrative Immunity Health System PC | Allergy & Immunology | 6600 France Ave S Ste 600, Edina, MN 55435-1813 | 2015-10-06 |
| 1740393198 | Allergy, Asthma & Pulmonary Associates, Pa | Allergy & Immunology | 1511 Northway Dr Ste 101, Saint Cloud, MN 56303-1262 | 2006-08-17 |
| 1114962206 | North Clinic, Pa | Allergy & Immunology | 9201 W Broadway Ave, Suite 601, Brooklyn Park, MN 55445-1923 | 2006-06-20 |
| 1821057910 | Amy M Berglin | Allergy & Immunology | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2006-03-20 |
| 1598756157 | William B Hicks | Allergy & Immunology | 3100 Kennard St, Maplewood, MN 55109-5439 | 2005-11-02 |
| 1932523321 | Center for Eosinophilic Esophagitis and Food Allergy | Allergy & Immunology | 1511 Northway Dr Ste 101, Saint Cloud, MN 56303-1262 | 2014-02-06 |
| 1548550916 | Britta Sundquist | Allergy & Immunology | 3955 Parklawn Ave Ste 120, Edina, MN 55435 | 2011-04-19 |
| 1255642294 | Aaron Pinion | Allergy & Immunology | 290 Main St Nw, Elk River, MN 55330-1270 | 2010-06-24 |
| 1295907152 | Amy R Ellingson Md Pa | Allergy & Immunology | 1037 19th Ave Sw, Willmar, MN 56201-5005 | 2008-03-31 |
| 1154427763 | Anthony Charles Orecchia | Allergy & Immunology | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2006-09-15 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on PRAMOD S KELKAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.