Provider Demographics
NPI:1710996921
Name:PRISCHMANN, JASPREET K (MD)
Entity Type:Individual
Prefix:DR
First Name:JASPREET
Middle Name:K
Last Name:PRISCHMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 XENIA AVE S STE 450
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1082
Mailing Address - Country:US
Mailing Address - Phone:952-567-7151
Mailing Address - Fax:952-567-7154
Practice Address - Street 1:701 XENIA AVE S STE 450
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-1082
Practice Address - Country:US
Practice Address - Phone:952-567-7151
Practice Address - Fax:952-567-7154
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48598207Y00000X, 207YS0123X
AZ38065207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNP00632050OtherRAILROAD MEDICARE
MN966487000Medicaid
I57725Medicare UPIN
MN040000819Medicare PIN