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

Individual provider Internal Medicine Physician · NPI 1396918207

Vidu Bala Mokkala, MD is an Internal Medicine in Fridley, Minnesota. Qualified in 2002, 24 years ago. Practices with Twin Cities Physicians Professional Corporation, a 66-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2008
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

550 Osborne Rd NE
Fridley, MN 55432-2718
Phone: (763) 236-3518
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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 52840 (MN)
Specialist Taxonomy 174400000X · Licence 207R00000X

Record details

NPI number1396918207
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2008
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

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 Twin Cities Physicians Professional Corporation — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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