(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003557794
Provider Name: JESSICA ELIZA SUKHARAN MD
Entity Type: Individual
Taxonomy Code: 390200000X
Specialty: Student in an Organized Health Care Education/Training Program
License Number:
Most Important Dates
Enumeration Date: 04/05/2022
Last Updated: 04/05/2022
Provider Practice Location
2020 E 28TH ST STE 104
MINNEAPOLIS
MN
554071925
Practice Location Phone/Fax
Phone: 7633300770
Fax:
Provider Mailing Location
2020 E 28TH ST STE 104
MINNEAPOLIS
MN
554071925
Provider Mailing Phone/Fax
Phone: 7633300770
Fax: