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

Maneesh C. Kanal, MD

Individual provider General Practice Physician · NPI 1700271012

Maneesh C. Kanal, MD is an Internal Medicine in Crookston, Minnesota. Qualified in 2015, 11 years ago. Practices with Avera Tyler, a 15-clinician group. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2015
Specialties on file
3
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

323 S Minnesota St
Crookston, MN 56716
Phone: (218) 281-9293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 63484 (MN)
General Practice Physician Taxonomy 208D00000X · Licence 63484 (MN)
Hospitalist Physician Taxonomy 208M00000X · Licence 63484 (MN)

Record details

NPI number1700271012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2015
Last updated in NPPESJuly 6, 2018
Mailing address323 S Minnesota St, Crookston, MN 56716-1601

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Avera Tyler — 15 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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