Organization
VEENA SRINIVAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEENA D DIVECHA M.D (RADIATION ONCOLOGIST)
(314) 775-1999
Entity
Organization
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 334-2230
(573) 651-6499
Mailing address
PO BOX 190, CAPE GIRARDEAU, MO 63702-0190
(573) 334-2230
(573) 651-6499
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2005035771
MO
Other
Enumeration date
09/24/2008
Last updated
06/07/2012
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