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

Pridvi Gautham Kandagatla, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1346668555

Pridvi Gautham Kandagatla, MD is a Colorectal Surgery (Proctology) in Saint Paul, Minnesota. Graduated from Wayne State University School of Medicine in 2014, 12 years ago. Practices with Minnesota Oncology Hematology PA, a 132-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Trained at
Wayne State University School of Medicine
Licensed in
MN
In the registry since
2014
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

1983 Sloan Pl Ste 11
Saint Paul, MN 55117-2004
Phone: (651) 312-1620
Fax: (651) 312-1570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 71756 (MN)

Record details

NPI number1346668555
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2014
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Minnesota Oncology Hematology Pa — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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