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Gaurav Reddy Katta

Anesthesiology

Allopathic & Osteopathic Physicians

6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702

PECOS Enrollment

This provider is enrolled in PECOS as GAURAV KATTA.

Based on the most recent information from CMS, provider Gaurav Reddy Katta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1619389947
Provider Type
Individual
Full Name
Katta, Gaurav Reddy
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/21/2014
Last Updated
6/15/2025

Contact Information

Practice Location

6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702

(952) 993-5000

Unlisted Fax

Mailing Location

14700 28th Ave N Ste 20, Plymouth, MN 55447-4876

(763) 559-3779

(763) 559-3791

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 74918 Minnesota

Gaurav Reddy Katta

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hoops, David E

Jaksa, Robert J

Peterson, Bradley J

Zurn, John D.

Dondlinger, Steven C

Newcome, John P

Lyons, Thomas E

Lyons, Michael J

Kaltenberg-Ahlers, Diane R

Leonovicz, Brian M