NPI 1003700667
Kiran Ponduru
Practice location
- Address
- 701 Park Avenue, Minneapolis, MN 55415
- Phone
- (612) 873-6369
- Fax
- (612) 904-4261
- Mailing address
- 701 Park Avenue Minneapolis, Mn 55415-1623, Minneapolis, MN 55415
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003700667
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jun 2025
- Record last updated
- 2 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.