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Individual

DR. VAISHNAVI KUTA GANESAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-4141
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-4141

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TEP8872
NE
207RP1001X
Pulmonary Disease Physician
Primary
2023019979
MO

Other

Enumeration date
07/29/2020
Last updated
07/21/2023
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