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

Dr. Kozhuvattasseri Padmanabha Madhusoodanan, MD

Individual provider Cardiovascular Disease Physician · NPI 1164505624

Dr. Kozhuvattasseri Padmanabha Madhusoodanan, MD is a Cardiovascular Disease (Cardiology) in Minneapolis, Minnesota. Qualified in 1983, 43 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
43
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

516 Delaware Street SE Clinic 3B University Of Minnesota Physicians
Minneapolis, MN 55455
Phone: (612) 625-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 42532 (MN)

Record details

NPI number1164505624
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESFebruary 15, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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