VIDU BALA MOKKALA

FRIDLEY, MN
NPI1396918207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MN  52840)
Additional Taxonomies174400000X Specialist
(Licence:   207R00000X)
Enumeration Date2008-04-11
Last Update Date2020-11-10
Business Address
VIDU BALA MOKKALA MD
550 OSBORNE RD NE
FRIDLEY, MN 55432-2718
Phone number: 763-236-3518
Mailing Address
VIDU BALA MOKKALA MD
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: