Dr. Prakash Viswanathan, MD
Dr. Prakash Viswanathan, MD is a Gastroenterology in Maple Grove, Minnesota. Qualified in 2005, 21 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in Maine, Minnesota and New York.
- Years since qualifying
- 21
- Licensed in
- ME, MN, NY
- In the registry since
- 2008
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
9855 Hospital Dr Ste 102BMaple Grove, MN 55369-5021
Phone: (763) 581-5600
Fax: (763) 581-5601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence MD23388 (ME) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 250191 (NY) |
| Gastroenterology Physician | Taxonomy 207RG0100X · Licence 250191 (NY) |
| Gastroenterology Physician | Taxonomy 207RG0100X · Licence 62460 (MN) |
Record details
| NPI number | 1649428574 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | September 4, 2008 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | February 29, 2020 |
| Mailing address | 9855 Hospital Dr Ste 102b, Maple Grove, MN 55369-5021 |
Medicare enrollment
| Medicare specialty | GASTROENTEROLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | New York University — 5884 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Maple Grove
-
Dr. Viet Pham, MD
9875 Hospital Dr, Maple Grove, MN 55369-4648 · (763) 581-1000
-
Sonya Schober, DO
15800 95th Ave N, Maple Grove, MN 55369-4400 · (952) 993-1440
-
Barry Steen Marolt, DO
17115 81st Ave N, Maple Grove, MN 55311-1754 · (440) 623-3013
-
Dr. Srinivasa Reddy Vaka, MD
Fairview Clinics-Bass Lake 6320 Wedgwood Rd N, Maple Grove, MN 55311-3647 · (763) 268-0400
-
Dr. Christina Marie Ward, MD
9855 Hospital Dr Ste 104, Maple Grove, MN 55369-4648 · (763) 581-5900
-
Lana R White-King, MD
7516 Mariner Dr, Maple Grove, MN 55311-2613 · (612) 810-0288
-
Elizabeth Williams
9555 Upland Ln N, Maple Grove, MN 55369-4485 · (952) 993-1440