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

Ganeshan Raveendran, MD

Individual provider Interventional Cardiology Physician · NPI 1265418420

Ganeshan Raveendran, MD is a Cardiovascular Disease (Cardiology) in Minneapolis, Minnesota. Qualified in 1990, 36 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
36
Licensed in
MN
In the registry since
2005
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

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone: (612) 672-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 42353 (MN)

Record details

NPI number1265418420
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesCRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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