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

Individual provider Internal Medicine Physician · NPI 1467615690

Sujatha Tata, MD is an Internal Medicine in Edina, Minnesota. Qualified in 2003, 23 years ago. Practices with Fairview Health Services, a 678-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2008
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

6401 France Ave S
Edina, MN 55435-2104
Phone: (612) 626-3000
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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 51807 (MN)

Record details

NPI number1467615690
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2008
Last updated in NPPESFebruary 7, 2018
Mailing address6401 France Ave S, Edina, MN 55435-2104

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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