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

Kiran Ponduru

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003700667

Kiran Ponduru is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

701 Park Ave
Minneapolis, MN 55415
Phone: (612) 873-6369
Fax: (612) 904-4261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1003700667
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

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