| Dr Kiran Dwarakanath, MD | |
| 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 | |
| (701) 780-6000 | |
| Not Available | 
| Full Name | Dr Kiran Dwarakanath | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Neonatal-perinatal Medicine | 
| Location | 1200 S Columbia Rd - Altru Hospital, Grand Forks, North Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699980847 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 11824 (North Dakota) | Secondary | 
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 64720 (Minnesota) | Primary | 
| Entity Name | Children's Health Care | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kiran Dwarakanath, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Dr Kiran Dwarakanath, MD 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Ph: (701) 780-6000 | 
| Dr. Jennifer M Peterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 Phone: 701-795-2000 Fax: 701-780-1896 | |
| Lori A Sondrol, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd - Altru Family Medical Center, Grand Forks, ND 58201 Phone: 701-795-2000 | |
| Mr. Miltiadis Douvoyiannis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-795-2000 Fax: 701-780-4477 | |
| Bernard Jerome Hoggarth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 Fax: 701-780-1942 | |
| Susan K Zelewski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 Phone: 701-795-2000 | |
| Dr. Nicole Marie Zimmerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-795-2000 | |
| Mrs. Gloria A Adjekum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 Phone: 701-795-2000 Fax: 212-939-4022 |