Vidu Bala Mokkala, MD

NPI #1396918207 in Fridley, Minnesota

Provider Information

NPI Number: 1396918207
Entity Type: Individual
Name: Vidu Bala Mokkala, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Apr 11, 2008
Last Updated: Nov 10, 2020

Practice Location

Address: 550 OSBORNE RD NE
City: Fridley
State: Minnesota
ZIP Code: 55432-2718
Phone: (763) 236-3518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Specialist	174400000X

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