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

Dr. Mitika Kanabar

Individual provider Addiction Medicine (Internal Medicine) Physician · NPI 1154616324

Dr. Mitika Kanabar is a Family Practice in Minneapolis, Minnesota. Qualified in 2006, 20 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2011
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Practice location Address checks out

701 Park Ave Family Medicine Hennepin County Med Ctr
Minneapolis, MN 55415-1623
Phone: (612) 545-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence A132664 (CA)

Record details

NPI number1154616324
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2011
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address2810 Nicollet Ave, Minneapolis, MN 55408-4708

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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