MEDICARE: DHRUVIKA MUKHIJA M.D.

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
1	207R00000X	Internal Medicine Physician	57.027731	OH
2	207RX0202X	Medical Oncology Physician	80019	MN
3	207RX0202X	Medical Oncology Physician	036148748	IL

General Provider Information

NPI Number	:	1700234614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DHRUVIKA MUKHIJA M.D.

Provider Business Mailing Address
First Line	:	2925 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1321
Country	:	US
Telephone Number	:	612-262-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E 28TH ST STE 401
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-3723
Country	:	US
Telephone Number	:	612-863-0200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2016
Last Update Date	:	01/05/2026

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