Individual
DR. CHANDRASEKHAR R VASAMREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MERCY WAY, SUITE 320, JOPLIN, MO 64804
(417) 781-5387
(417) 781-7174
Mailing address
100 MERCY WAY, SUITE 320, JOPLIN, MO 64804
(417) 781-5387
(417) 781-7174
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-33682
KS
207RC0000X
Cardiovascular Disease Physician
24539
OK
207RC0000X
Cardiovascular Disease Physician
KSDEA-FV1379646
KS
207RC0000X
Cardiovascular Disease Physician
MO-2009008971
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
04-33682
KS
207RC0001X
Clinical Cardiac Electrophysiology Physician
2009008971
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265572481
—
MO
05
—
200611200A
—
KS
01
—
450A00003A
MEDICARE JACKSON COUNTY
MO
01
—
450D00003D
MEDICARE JOHNSON COUNTY
KS
01
—
67A00005
MEDICARE PTANK
KS
01
—
K67000014
MEDICARE PTAN
KS
Enumeration date
02/07/2007
Last updated
05/08/2025
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