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

Samir Suresh Khariwala, MD

Individual provider Otolaryngology Physician · NPI 1093859613

Samir Suresh Khariwala, MD is an Otolaryngology in Minneapolis, Minnesota. Graduated from Perelman School of Med at the University of Pennsylvania in 2001, 25 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
MI
In the registry since
2007
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

516 Delaware St SE Clinic 8A
Minneapolis, MN 55455-0356
Phone: (612) 625-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4301089163 (MI)

Record details

NPI number1093859613
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 16, 2007
Last updated in NPPESOctober 26, 2012

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2001 (25 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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