| Shivani Rawal, MBBS,MD | |
|
1885 Plaza Dr, Eagan, MN 55122-2979 | |
| (952) 993-4001 | |
| (952) 993-4095 |
| Full Name | Shivani Rawal |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1885 Plaza Dr, Eagan, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699807420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49219 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivani Rawal, MBBS,MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Shivani Rawal, MBBS,MD 1885 Plaza Dr, Eagan, MN 55122-2979 Ph: (952) 993-4001 |
David Stuart Kyllo, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3460 Washington Dr, Ste 102, Eagan, MN 55122 Phone: 651-452-9240 Fax: 651-452-5440 | |
Sheila Rae Rodstein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 Town Centre Dr, Eagan, MN 55123 Phone: 651-326-1515 Fax: 651-326-1519 | |
Dr. Dylan August Bindman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 | |
Dr. Kristina Marie Schultz, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 | |
John A Beall Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 Fax: 651-905-5087 | |
Paul Joseph Dondlinger, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 | |
Mr. Charles E Pogemiller Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 Town Centre Dr, Eagan, MN 55123 Phone: 651-326-1515 Fax: 651-326-1519 |