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

Dr. Prasun Mandal, DO

Individual provider Family Medicine Physician · NPI 1205405875

Dr. Prasun Mandal, DO is a Family Practice in Waconia, Minnesota. Qualified in 2021, 5 years ago. Practices with Lakeview Clinic, Ltd, a 53-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

424 W Highway 5
Waconia, MN 55387-1795
Phone: (952) 442-4461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 110105 Pioneer Trl W, Chaska, MN 55318-2680 — (952) 556-0120
  • 406 Faxon Rd N, Norwood, MN 55368-9507 — (952) 467-2888
  • 313 Territorial St E, Watertown, MN 55388-9284 — (952) 955-1921

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 79925 (MN)

Record details

NPI number1205405875
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 18, 2021
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address424 W State Highway 5, Waconia, MN 55387-1795

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lakeview Clinic, Ltd. — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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