Provider Demographics
NPI:1639209224
Name:GADA, PURVI (MBBS)
Entity Type:Individual
Prefix:DR
First Name:PURVI
Middle Name:
Last Name:GADA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:PURVI
Other - Middle Name:DEVCHAND
Other - Last Name:GADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2550 UNIVERSITY AVE W STE 110N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-2001
Mailing Address - Country:US
Mailing Address - Phone:651-602-5309
Mailing Address - Fax:651-222-6786
Practice Address - Street 1:110105 PIONEER TRL W STE 302
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-2680
Practice Address - Country:US
Practice Address - Phone:952-361-5800
Practice Address - Fax:952-361-5858
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17508207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine