# VVASUDEVAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659869857
- **Authorized official:** DR. VIJAYA N VASUDEVAN MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (636) 206-6022

## Contact information

- **Practice address:** 5401 VETERANS MEMORIAL PKWY STE 200, SAINT PETERS, MO 63376-1687
- **Practice address phone:** (636) 206-6022
- **Practice address fax:** (780) 328-3971
- **Mailing address:** PO BOX 173, SAINT CHARLES, MO 63302-0173
- **Mailing address phone:** (314) 952-8009
- **Mailing address fax:** (888) 511-1238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2018
- **Last updated:** 04/07/2022