Provider Demographics
NPI:1174608079
Name:PACALA, KARA K (MD)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:K
Last Name:PACALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:420 DELAWARE STREET SE
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-333-0770
Mailing Address - Fax:
Practice Address - Street 1:UFP-SMILEY'S CLINIC
Practice Address - Street 2:2615 EAST FRANKLIN AVENUE
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406
Practice Address - Country:US
Practice Address - Phone:612-333-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN44241207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN01-16898OtherMEDICA PRIMARY
MN131309OtherUCARE
MNHP40885OtherHEALTH PARTNERS
MN191J7PAOtherBLUE CROSS BLUE SHIELD
MN1040597OtherPREFERRED ONE
MN2057382OtherARAZ
MN01-16898OtherMEDICA CHOICE
MNHP40885OtherHEALTH PARTNERS