Individual provider · Type 1 NPI

Kamini Bose Sundar Bose, PA STUDENT

Physician Assistant · St. Paul, MN

NPI number 1295371789 Active

Practice location

640 Jackson St
St. Paul, MN 55101-2502

Fax (952) 883-9677

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X13727 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295371789

Kamini Bose Sundar Bose, PA STUDENT's National Provider Identifier is 1295371789, issued on Nov 20, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 30, 2021.