EDEN PRAIRIE CLINIC, PA – Family Medicine Physician, NPI 1437459211

EDEN PRAIRIE CLINIC, PA is a healthcare provider. based in Bloomington, Minnesota. specializing in Family Medicine Physician. The NPI Number for EDEN PRAIRIE CLINIC, PA is 1437459211

Main info

Organization
Name
EDEN PRAIRIE CLINIC, PA
NPI
1437459211
Phone
(952) 944-6989
Address
9358 ENSIGN AVE S
Authorized Official
RADHA KRISHNA KUMAR OWNER M.D.
Enumeration Date
27 October 2010
Last Update Date
28 October 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for EDEN PRAIRIE CLINIC, PA

  • 9358 ENSIGN AVE S

    SUITE C

    BLOOMINGTON, MN 554381472

    Phone: (952) 944-6989

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55438)

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Reviews

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Frequently asked questions

Where can patients find EDEN PRAIRIE CLINIC, PA's NPI?
You can confirm EDEN PRAIRIE CLINIC, PA with NPI 1437459211; it appears in the national provider directory.
Is EDEN PRAIRIE CLINIC, PA's NPI currently valid?
The extract we use shows EDEN PRAIRIE CLINIC, PA as active.
What kind of provider is EDEN PRAIRIE CLINIC, PA?
The page reflects Family Medicine Physician for EDEN PRAIRIE CLINIC, PA. Clinical services aligned with this taxonomy classification.
Does EDEN PRAIRIE CLINIC, PA practice in Minnesota?
You will see Bloomington, Minnesota on file for EDEN PRAIRIE CLINIC, PA alongside any extra practice locations.
Is EDEN PRAIRIE CLINIC, PA a real provider?
This page reflects official NPPES data for NPI 1437459211. Always confirm identity and privileges with the practice and licensing boards.

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