Provider Demographics
NPI:1922076132
Name:DAS, KAMALINI (MD)
Entity Type:Individual
Prefix:
First Name:KAMALINI
Middle Name:
Last Name:DAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-293-8106
Practice Address - Street 1:205 S WABASHA ST - MAIL STOP 31300A
Practice Address - Street 2:HEALTHPARTNERS ST. PAUL CLINIC
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55107-1805
Practice Address - Country:US
Practice Address - Phone:651-293-8100
Practice Address - Fax:651-293-8106
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2011-12-07
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Provider Licenses
StateLicense IDTaxonomies
MN36256207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN254826700Medicaid
F88925Medicare UPIN
MN254826700Medicaid