| Kavitha Malango, NP | |
|
15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | |
| (612) 871-1145 | |
| Not Available |
| Full Name | Kavitha Malango |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 15700 37th Ave N Ste 300, Plymouth, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285267922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7224 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital | Coon rapids, MN | Hospital |
| North Memorial Health | Robbinsdale, MN | Hospital |
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mngi Digestive Health Pa | 8123016557 | 267 |
| Entity Name | Mngi Digestive Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609804541 PECOS PAC ID: 8123016557 Enrollment ID: O20040504001467 |
| Entity Name | Fareed Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649995317 PECOS PAC ID: 0244603116 Enrollment ID: O20230224001185 |
| Mailing Address | Practice Location Address |
|---|---|
| Kavitha Malango, NP 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 Ph: () - | Kavitha Malango, NP 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 Ph: (612) 871-1145 |
Mrs. Ellie Flannery, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5046 Everest Ln N, Plymouth, MN 55446 Phone: 612-669-8725 | |
Khrystyna Antonova, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15552 57th Pl N, Plymouth, MN 55446 Phone: 612-481-1842 | |
Sarah Irene Hare, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4140 County Road 101 N, Plymouth, MN 55446 Phone: 763-478-4612 | |
Natalie Brandsrud, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18205 45th Ave N Ste C, Plymouth, MN 55446 Phone: 763-400-7828 | |
Elizabeth Ann Brennan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Fernbrook Ln N Ste 120, Plymouth, MN 55447 Phone: 763-559-7050 Fax: 763-559-7060 | |
John M Rozman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 | |
Erica Barbosa De Souza, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Magnolia Ln N, Plymouth, MN 55441 Phone: 763-744-7256 |