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: |