| Clifford E Kashtan, MD | |
| 516 Delaware St Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | |
| (612) 626-6777 | |
| Not Available | 
| Full Name | Clifford E Kashtan | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Nephrology | 
| Location | 516 Delaware St Se, Minneapolis, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699863274 | NPI | - | NPPES | 
| 0012699 | Medicaid | MT | |
| 31-24906 | Other | MN | MEDICA-CHOICE | 
| 052035 | Other | MN | FAIRVIEW CARE GIVER ID | 
| 109962 | Other | MN | PATIENT CHOICE | 
| 2105760 | Medicaid | OH | |
| 101069 | Other | MN | U CARE | 
| 31-74533 | Other | MN | MEDICA-PRIMARY | 
| 370010935 | Other | MN | RAIL ROAD MEDICARE | 
| 629885100 | Medicaid | MN | |
| 1009162 | Other | MN | PREFERRED ONE | 
| 30852900 | Medicaid | WI | |
| HP13656 | Other | MN | HEALTH PARTNERS | 
| 0506212 | Medicaid | IA | |
| 768184 | Other | MN | AMERICA'S PPO | 
| 2T289KA | Other | MN | BLUE CROSS BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0210X | Pediatrics - Pediatric Nephrology | 28733 (Minnesota) | Primary | 
| Entity Name | Fairview Express Care | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Clifford E Kashtan, MD 420 Delaware St Se, University Of Minnesota Physicians Mmc 491, Minneapolis, MN 55455 Ph: (612) 626-6777 | Clifford E Kashtan, MD 516 Delaware St Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Ph: (612) 626-6777 | 
| Dr. Kathleen F Sadak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-6402 | |
| Dr. Aimee Kristen Sznewajs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-343-2121 | |
| Anisha Rimal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
| Dr. Marie Elizabeth Steiner, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
| Dr. Bruce Robert Blazar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Delaware Street Se, University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b, Minneapolis, MN 55455 Phone: 612-273-2800 | |
| Dr. Pablo Ureta Avendano, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
| Heather Emily Stefanski, MD, PH.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Mmc 366, University Of Minnesota, Minneapolis, MN 55455 Phone: 612-626-2961 |