Provider Demographics
NPI:1649239864
Name:VALETI, UMA SHANKAR VENKATA (MD)
Entity Type:Individual
Prefix:DR
First Name:UMA
Middle Name:SHANKAR VENKATA
Last Name:VALETI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:MMC 508
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:612-625-7924
Mailing Address - Fax:612-626-4411
Practice Address - Street 1:516 DELAWARE STREET SE
Practice Address - Street 2:UMP CARDIOVASCULAR CENTER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-625-3600
Practice Address - Fax:612-625-7627
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2014-05-22
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Provider Licenses
StateLicense IDTaxonomies
MN44124207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN080987000Medicaid
MN080987000Medicaid
MNH43623Medicare UPIN