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EDEN PRAIRIE CLINIC, PA
NPI 1437459211
Family Medicine in Bloomington, MN

Active since October 27, 2010
9358 ENSIGN AVE S, SUITE C, BLOOMINGTON, MN 55438(952) 944-6989 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eden Prairie Clinic, Pa NPPES

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

EDEN PRAIRIE CLINIC, PA (NPI 1437459211) is a healthcare organization registered as a family medicine in Bloomington, Minnesota and active in the NPI registry since October 2010. The organization lists Radha Krishna Kumar, Owner, as its authorized official.

NPPES Registry Identity

NPI1437459211
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEDEN PRAIRIE CLINIC, PA
Location Address9358 ENSIGN AVE S, SUITE CBloomington, MN 55438-1472
Mailing Address9358 Ensign Ave S, Suite CBloomington, MN 55438-1472 · (952) 944-6989
Phone(952) 944-6989
Organization SubpartNo
Authorized OfficialRadha Krishna KumarOwner · (952) 944-6989
Enumeration DateOctober 27, 2010
Last NPPES UpdateOctober 28, 2010
✔ NPI 1437459211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
9358 ENSIGN AVE S, Bloomington, MN 55438
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ADEN HASSAN HIRSI
Behavior Technician
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (612) 456-6101
AMANDA MARIE DOUGHERTY
Clinic/Center (Adolescent and Children Mental Health)
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (952) 666-2289
NIMO AYANLE ADEYS
Behavior Technician
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (612) 213-6729
GULED HASSAN
Behavior Technician
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (612) 213-6729
SHAKIRA S ABASE
Behavior Technician
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (612) 213-6729
SIHAM ALI
Behavior Technician
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (612) 213-6729
AMINA ADAN KARSHE
Behavior Technician
9358 ENSIGN AVE S
MINNEAPOLIS, MN 55438
Hennepin County (952) 945-9536
SUNSHINE AUTISM CARE
Clinic/Center (Adolescent and Children Mental Health)
9358 ENSIGN AVE S
BLOOMINGTON, MN 55438
Hennepin County (206) 816-0521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Prairie Clinic, PA's NPI number?

The NPI number for Eden Prairie Clinic, PA is 1437459211. It was assigned to this organization in the NPPES registry on October 27, 2010.

Where is Eden Prairie Clinic, PA located?

Eden Prairie Clinic, PA is located at 9358 Ensign Ave S Suite C, Bloomington, MN 55438. The listed phone number is (952) 944-6989.

What is Eden Prairie Clinic, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Eden Prairie Clinic, PA was last updated on October 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.