| Suchitra Rondla, MBBS | |
|
3585 Lexington Avenue North, Suite 350, Shoreview, MN 55126-8056 | |
| (651) 494-3942 | |
| (651) 787-0519 |
| Full Name | Suchitra Rondla |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3585 Lexington Avenue North, Shoreview, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326007659 | NPI | - | NPPES |
| 395421800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 48207 (Minnesota) | Primary |
| 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 |
|---|---|
| Suchitra Rondla, MBBS 3585 Lexington Avenue North, Suite 350, Shoreview, MN 55126-8056 Ph: (651) 251-5280 | Suchitra Rondla, MBBS 3585 Lexington Avenue North, Suite 350, Shoreview, MN 55126-8056 Ph: (651) 494-3942 |
James Michael Marquardt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3585 Lexington Avenue North, Suite 350, Shoreview, MN 55126 Phone: 651-484-3942 Fax: 651-787-0519 | |
Thresiamma Augustine Joseph, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3585 Lexington Ave N, Ste 350, Shoreview, MN 55126 Phone: 651-484-3942 Fax: 651-787-0519 | |
Wendy Marion Nelms Mccabe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3585 Lexington Ave N, Suite 350, Shoreview, MN 55126 Phone: 651-484-3942 Fax: 651-787-0519 | |
Mrs. Elizabeth Rose Hofbauer, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 | |
Margaret Jean Hustad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3585 Lexington Ave N, Suite 350, Shoreview, MN 55126 Phone: 651-484-3942 Fax: 651-787-0519 | |
Janice Chua Go, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3585 Lexington Ave N, Suite 350, Shoreview, MN 55126 Phone: 651-484-3942 Fax: 651-787-0519 |