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

Kamini Bose Sundar Bose, PASTUDENT

Individual provider Physician Assistant · NPI 1295371789

Kamini Bose Sundar Bose, PASTUDENT is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2021, 5 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2019
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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 495-6603
Fax: (952) 883-9677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13727 (MN)

Record details

NPI number1295371789
Entity typeIndividual (Type 1)
GenderFemale
Credentials PASTUDENT
Sole proprietorNo
NPI enumeratedNovember 20, 2019
Last updated in NPPESJuly 30, 2021
Certification dateJuly 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Paul