Healthcare Provider Details

I. General information

NPI: 1285998708
Provider Name (Legal Business Name): AMRITA KAHLON SALUNKE M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMRITA KAHLON MD

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 06/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 S 7TH ST
MINNEAPOLIS MN
55454
US

IV. Provider business mailing address

720 WASHINGTON AVE SE STE 200
MINNEAPOLIS MN
55414-2924
US

V. Phone/Fax

Practice location:
  • Phone: 612-365-6777
  • Fax: 612-365-8001
Mailing address:
  • Phone: 612-672-7422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number65183
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: