Komal Anantrai Dave (NPI# 1497099709, PAC ID# 6406123272) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1497099709 |
| PAC ID by PECOS | 6406123272 |
| Professional Enrollment ID | I20171101001494 |
| Full Name | Komal Anantrai Dave |
| Organization Legal Name | MINNESOTA ONCOLOGY HEMATOLOGY, PA |
| Address |
345 Sherman St Suite 100 Saint Paul MN 55102-2401 |
| Phone Number | 6512415525 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6709799752 |
| Number of Group Practice Members | 98 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240038 | ALLINA UNITED HOSPITAL |
| 240063 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1580 Beam Ave, Maplewood, MN 55109-1127 | 6517797978 | MINNESOTA ONCOLOGY HEMATOLOGY, PA |
| 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 | 6512415525 | MINNESOTA ONCOLOGY HEMATOLOGY, PA |
| Organization Legal Name | MINNESOTA ONCOLOGY HEMATOLOGY, PA |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayanthi Vijayakumar | Hematology/oncology | Minnesota Oncology Hematology, Pa | 110105 Pioneer W Trl, Suite 302, Chaska, MN 55318-2680 |
| Jessica Ann Thomes Pepin | Gynecological Oncology | Minnesota Oncology Hematology, Pa | 6025 Lake Rd, Suite 110, Woodbury, MN 55125-1709 |
| Megan K Shay | Physician Assistant | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Chara J Anderson | Nurse Practitioner | Minnesota Oncology Hematology, Pa | 910 E 26th St, Suite 100 200, Minneapolis, MN 55404-4526 |
| Jackie L Collins | Nurse Practitioner | Minnesota Oncology Hematology, Pa | 2805 Campus Dr, Suite 105, Plymouth, MN 55441-2677 |
| Warren A Mcguire | Radiation Oncology | Minnesota Oncology Hematology, Pa | 1580 Beam Ave, Maplewood, MN 55109-1127 |
| Gauri G Nagargoje | Medical Oncology | Minnesota Oncology Hematology, Pa | 11850 Blackfoot St Nw, Suite 100, Coon Rapids, MN 55433-2774 |
| Michelle L Paulsen | Nurse Practitioner | Minnesota Oncology Hematology, Pa | 675 E Nicollet Blvd, Suite 200, Burnsville, MN 55337-6743 |
| Amy Lee | Physician Assistant | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Amy K Yilek | Nurse Practitioner | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Street Address |
345 SHERMAN ST SUITE 100 |
| City | SAINT PAUL |
| State | MN |
| Zip | 55102-2401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan K Shay | Physician Assistant | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Amy Lee | Physician Assistant | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Amy K Yilek | Nurse Practitioner | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Kathryn L Houselog | Nurse Practitioner | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Thomas P Ducker | Medical Oncology | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Courtney Marie Dockter | Physician Assistant | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Melissa Dankbar | Physician Assistant | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Lucia A Garino | Medical Oncology | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Sara R Torgerson | Medical Oncology | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| John F Schwerkoske | Medical Oncology | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid A Martinson | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Nathan M Frink | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Orren Wexler | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Faisal M Choudhry | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Mueni C Mualuko | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Joshua B Colton | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Genet N Ghebre | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Thomas Christopher Sanneman | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Douglas B Nelson | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Patrick M Oreilly | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Find all physicians in zip 55102 | |||
| City | SAINT PAUL |
| Zip Code | 55102 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAINT PAUL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Komal Anantrai Dave.
| 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.