MONA M RISKALLA


Address: 2450 Riverside Ave, Minneapolis, MN 55454-1450
Phone: 6126264598

MONA M RISKALLA (NPI# 1710068978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710068978
Entity Type Individual
Full Name MONA M RISKALLA
Other Name MONA M RISKALLA
Credential MD
Practice Address 2450 Riverside Ave
Minneapolis
MN 55454-1450
Practice Telephone 6126264598
Practice Fax Number 6126266905
Mailing Telephone 6126264598
Mailing Fax Number 6126266905
Enumeration Date 2006-10-17
Last Update Date 2016-09-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RR0500X Internal Medicine
Specialization: Rheumatology 		48674 MN Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 48674 MN Allopathic & Osteopathic Physicians
Y 2080P0216X Pediatrics
Specialization: Pediatric Rheumatology 		48674 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 573606400 05

Office Location

Street Address 2450 RIVERSIDE AVE
City MINNEAPOLIS
State MN
Zip Code 55454-1450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568462570 Sreejaya Veluvali Psychiatry & Neurology 2450 Riverside Ave, Minneapolis, MN 55454-1450 2005-08-01
1588265375 Fairview Health Services General Acute Care Hospital 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-11-06
1215535927 Katrina Joelle Christian Student in an Organized Health Care Education/Training Program 2450 Riverside Ave, Department of Pediatrics, 6 East Building, Minneapolis, MN 55454-5510 2020-10-14
1023616208 Jodi Renee Nelson Psychologist 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-11
1912504150 Pamela Norling Counselor 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-01
1225635345 Trevor Ryan Goldsmith Nurse Anesthetist, Certified Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-01
1215534342 Michelle L White Marriage & Family Therapist 2450 Riverside Ave, Attn: Adult Cd Lodging Plus, Minneapolis, MN 55454-1450 2020-10-01
1295341048 Tobias Zander Donlon Student in an Organized Health Care Education/Training Program 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-09-17
1417562497 Megan Farr Dietitian, Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-09-15
1871101238 Fairview Express Care General Practice 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
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Taxonomy Information

Taxonomy Code 2080P0216X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Rheumatology

Taxonomy Definition

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750574927 Theresa Lynn Wampler Muskardin Pediatrics 200 1st St Sw, Rochester, MN 55905-0001 2007-08-21
1609958347 Ulcay E Akin Pediatrics 200 University Ave E, Saint Paul, MN 55101-2507 2006-10-20
1154341147 Elizabeth Chalom Pediatrics 200 University Ave E, Saint Paul, MN 55101-2507 2006-07-20

Competitor

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City MINNEAPOLIS
Zip Code 55454

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Dataset Information

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.

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