Medvidi Health PC

Organization Active NPI Psychiatry Physician · Saint Paul, MN

NPI 1891544482 · NPPES record last updated May 15, 2024

Key facts

NPI
1891544482
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
Legal business name
MEDVIDI HEALTH PC
Practice address
2136 Ford Pkwy # 5530
Saint Paul, MN 55116-2850
Phone
(504) 414-5095
NPI assigned
May 15, 2024
Organization subpart
No

Authorized official

Name
Laura E Purdy
Title
Ceo
Phone
(910) 644-8373

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Medvidi Health PC (14 organizations share this tax ID)

Locations

2136 Ford Pkwy
#5530
Saint Paul, MN 55116

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084P0800X Yes

Addresses

Primary practice location

2136 Ford Pkwy # 5530
Saint Paul, MN 55116-2850

Mailing address

4010 Moorpark Ave Ste 114
San Jose, CA 95117-1804
Phone (415) 966-0848

Other providers in Saint Paul, MN

All providers in Saint Paul, MN · Psychiatry Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.