DR. GOWRI KABBUR (NPI# 1194250605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194250605 |
| Entity Type | Individual |
| Full Name | DR. GOWRI KABBUR |
| Credential | M.D. |
| Practice Address |
1021 Bandana Blvd E Ste 100 Saint Paul MN 55108-5109 |
| Practice Telephone | 6512419700 |
| Mailing Telephone | 6512419700 |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 66085 | MN | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 66085 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 Delaware St Se, Mmc 98, Minneapolis, MN 554550341 | 6126249964 | |
| 3800 Park Nicollet Blvd, St Louis Park, MN 554162527 | 9529933123 |
| Street Address |
1021 BANDANA BLVD E STE 100 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992764419 | Stella U Ekong | Family Medicine | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2006-03-22 |
| 1710593637 | Allina Health System | Clinic/Center | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2020-09-16 |
| 1619509866 | Jessica Hamel Dusold | Nurse Practitioner | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2020-02-06 |
| 1487293627 | Kirsten Norby | Nurse Practitioner | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2020-01-06 |
| 1598267148 | Sarah Imdieke | Nurse Practitioner | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2018-02-28 |
| 1205334828 | Tess Abrahamson | Physician Assistant | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2018-01-29 |
| 1881110310 | Hannah Mareen Stafford | Audiologist | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2017-08-16 |
| 1912436007 | Alicia Schroepfer | Nurse Practitioner | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2017-06-12 |
| 1487181285 | Westley Shigeo Mori | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2017-05-11 |
| 1376076075 | Kristin Elaine Totoraitis | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174939706 | Bjorn Bakken | Internal Medicine | 1021 Bandana Blvd E Ste 250, Saint Paul, MN 55108-5113 | 2014-07-03 |
| 1679997936 | Keith Eugene Folkert | Internal Medicine | 2122 Highland Pkwy, Saint Paul, MN 55116-1313 | 2014-02-06 |
| 1255607321 | Louis A Sagert | Internal Medicine | 497 Curfew St, Saint Paul, MN 55104-4912 | 2012-03-22 |
| 1912137944 | Dominic Rossini | Internal Medicine | 116 W Pleasant Lake Rd, Saint Paul, MN 55127-2621 | 2009-07-24 |
| 1639367865 | Kerwin T Chan | Internal Medicine | 45 10th St W Ste A, Saint Paul, MN 55102-1062 | 2007-10-12 |
| 1861696056 | Emily Ruth Conover Downing | Internal Medicine | 1055 Westgate Drive, Suite 100, Allina Home and Community Services, Saint Paul, MN 55114 | 2007-06-12 |
| 1750304580 | Bobby Khue Yang | Internal Medicine | 1047 University Ave W Ste 101, Saint Paul, MN 55104-4751 | 2006-07-25 |
| 1093746000 | Salima Mithani | Internal Medicine | 2005 Ford Pkwy, Saint Paul, MN 55116-1932 | 2006-07-06 |
| 1609803766 | Peter Cermak | Internal Medicine | Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 | 2006-06-26 |
| 1619903093 | Shannon Canas | Internal Medicine | 1000 Westgate Dr, Suite 149, Saint Paul, MN 55114-8612 | 2006-06-25 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
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| 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.