Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eden Prairie Clinic, PA

Organization Family Medicine Physician · NPI 1437459211

Eden Prairie Clinic, PA is a Family Medicine Physician in Bloomington, Minnesota. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9358 Ensign Ave S Ste C
Bloomington, MN 55438-1472
Phone: (952) 944-6989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X
Adult Medicine Physician Taxonomy 207QA0505X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X

Record details

NPI number1437459211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Radha Krishna Kumar — Owner · (952) 944-6989
NPI enumeratedOctober 27, 2010
Last updated in NPPESOctober 28, 2010
Mailing address9358 Ensign Ave S, Suite C, Bloomington, MN 55438-1472

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