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

Individual provider Internal Medicine Physician · NPI 1760682058

Pradeep Putlur, MD is an Internal Medicine in Coon Rapids, Minnesota. Qualified in 2002, 24 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
24
Licensed in
MN, WI
In the registry since
2007
Specialties on file
2
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

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone: (763) 780-9155
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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 107806 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 50167 (WI)

Record details

NPI number1760682058
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2007
Last updated in NPPESNovember 29, 2021
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Coon Rapids