Individual
VINAYA MULKAREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269-1282
(618) 233-6044
(833) 769-0777
Mailing address
3 SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269-1282
(618) 233-6044
(833) 769-0777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015017257
MO
207RC0000X
Cardiovascular Disease Physician
Primary
036.156469
IL
Other
Enumeration date
06/17/2015
Last updated
12/21/2021
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