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Individual

DR. SRINIVASA VASIREDDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
(913) 596-4000
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(913) 660-1616
(913) 660-0998

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-37935
KS
207R00000X
Internal Medicine Physician
2016007049
MO
207R00000X
Internal Medicine Physician
4301098297
MI

Other

Enumeration date
05/24/2011
Last updated
04/05/2018
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