Shivani Rawal (NPI# 1699807420, PAC ID# 0941380430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699807420 |
| PAC ID by PECOS | 0941380430 |
| Professional Enrollment ID | I20080109000791 |
| Full Name | Shivani Rawal |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Address |
1885 Plaza Dr Eagan MN 55122-2979 |
| Phone Number | 9529934001 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7911819438 |
| Number of Group Practice Members | 1323 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 9529932400 | PARK NICOLLET CLINIC |
| 1885 Plaza Dr, Eagan, MN 55122-2979 | 9529934001 | PARK NICOLLET CLINIC |
| 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 9529937750 | PARK NICOLLET CLINIC |
| 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 9529937750 | PARK NICOLLET CLINIC |
| 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | PARK NICOLLET CLINIC | |
| 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 9529933123 | PARK NICOLLET CLINIC |
| 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | PARK NICOLLET CLINIC |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Physicians | 1272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace Marie Irish | Nurse Practitioner | Park Nicollet Clinic | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Johanna Dijkstal Beebe | Ophthalmology | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Lonzale Ramsey | Family Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Kurt Wolff | Physical Therapy | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Alexandra E Wells | Internal Medicine | Park Nicollet Clinic | 13688 Rogers Dr, Rogers, MN 55374-4916 |
| Mysoon M Ayuob | Family Medicine | Park Nicollet Clinic | 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201 |
| Brian Lee Walters | Orthopedic Surgery | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Jared J Mell | Family Medicine | Park Nicollet Clinic | 4951 Excelsior Blvd, St Louis Park, MN 55416-3033 |
| Sean M Reardon | Clinical Psychologist | Park Nicollet Clinic | 9555 Upland N Ln, Maple Grove, MN 55369-4485 |
| Jeffrey J Mohr | Physician Assistant | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Street Address |
1885 PLAZA DR |
| City | EAGAN |
| State | MN |
| Zip | 55122-2979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey J Mohr | Physician Assistant | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Jori L Shore | Physician Assistant | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| William D Knopp | Family Medicine | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Clare L Macdonald-sexton | Clinical Social Worker | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Michelle A Lowell | Nurse Practitioner | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Yvonne M Eissinger | Certified Clinical Nurse Specialist (cns) | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Jay S Simonson | Cardiac Electrophysiology | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Nicholas P Wanner | Physician Assistant | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Kendra L Kubiak | Hematology/oncology | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| David M Tridgell | Endocrinology | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Deckert | Chiropractic | 2020 Silver Bell Rd, Suite 9, Eagan, MN 55122-1050 | |
| Robert D Lukin | Chiropractic | 2020 Silver Bell Rd, Suite 9, Eagan, MN 55122-1050 | |
| Barbara A Kaiser | Chiropractic | 3435 Washington Dr, Suite 208, Eagan, MN 55122-1321 | |
| Erin E Carlson | Optometry | Eagan Eye Clinic | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 |
| Benjamin E Stout | Optometry | Eagan Eye Clinic | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 |
| Kathleen F Sadak | Pediatric Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Lindsay M Kuphal | Nurse Practitioner | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Michelle M Svihel | Physician Assistant | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Jeffrey R Michell | Family Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Kamiab Delfanian | Internal Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Find all physicians in zip 55122 | |||
| City | EAGAN |
| Zip Code | 55122 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EAGAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shivani Rawal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.