Individual
VASANTHAN KUPPUSWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019007766
MO
207RP1001X
Pulmonary Disease Physician
T5602
TX
208M00000X
Hospitalist Physician
Primary
86101
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019007766
MISSOURI STATE BOARD
MO
Enumeration date
06/20/2017
Last updated
06/09/2025
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