MONA M RISKALLA MD NPI 1710068978

NPI Information

NPI: 1710068978
Provider Name: MONA M RISKALLA, MD
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

PECOS Registration: Yes

Address:
2450 RIVERSIDE AVE
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 626-4598
Get Directions

Mona M Riskalla, MD is a pediatric rheumatology pediatrics in Minneapolis, MN. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Mona M Riskalla, MD NPI is 1710068978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2450 RIVERSIDE AVE
MINNEAPOLIS, MN
ZIP 55454-450
Phone: (612) 626-4598
Fax: (612) 626-6905

The NPI 1710068978 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 9/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	48674	MINNESOTA	No
2	208000000X	Pediatrics		48674	MINNESOTA	No
3	2080P0216X	Pediatrics	Pediatric Rheumatology	48674	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H05946	MEDICARE UPIN
2	573606400	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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