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NPI Code Detail

MEDICARE: SWETAPADMA PATTANAIK DO

MEDICARE: SWETAPADMA PATTANAIK DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianUO5619FL
2207Q00000XFamily Medicine Physician73444MN
32086H0002XHospice and Palliative Medicine (Surgery) Physician73444MN

General Provider Information

NPI Number : 1427581883
Entity Type Code : Individual
Provider Name (Legal Business Name) : SWETAPADMA PATTANAIK DO
Provider Business Mailing Address
First Line : 8170 33RD AVE S # MS 21110Q
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55425-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 205 WABASHA ST S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55107-1805
Country : US
Telephone Number : 651-293-8100
Fax Number : 651-293-8232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 02/09/2026

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Directions to “ SWETAPADMA PATTANAIK DO” Practice Location

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