KIRAN PONDURU
NPI 1003700667
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 06, 2025

701 PARK AVENUE, MINNEAPOLIS, MN 55415(612) 873-6369(612) 904-4261 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2026, Jun 6, 2025 (2 updates tracked since 2025).

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About Kiran Ponduru NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRAN PONDURU (NPI 1003700667) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1003700667

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKIRAN PONDURU

Location Address701 PARK AVENUEMinneapolis, MN 55415

Mailing Address701 Park Avenue Minneapolis, Mn 55415-1623Minneapolis, MN 55415 · (612) 873-6369 · Fax (612) 904-4261

Phone(612) 873-6369

Fax(612) 904-4261

Sole ProprietorNo

Enumeration DateJune 6, 2025

Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1003700667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

701 PARK AVENUE, Minneapolis, MN 55415

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