Individual
VINEELA KASIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-4800
Mailing address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT203402
PA
207RH0003X
Hematology & Oncology Physician
Primary
2022000584
MO
207RH0003X
Hematology & Oncology Physician
MD459024
PA
Other
Enumeration date
06/27/2013
Last updated
02/04/2022
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