Individual
VIJAYA NATTUVETTY VASUDEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5401 VETERANS MEMORIAL PKWY STE 200, SAINT PETERS, MO 63376-1687
(636) 206-6022
(780) 328-3971
Mailing address
PO BOX 173, SAINT CHARLES, MO 63302-0173
(636) 206-6022
(780) 328-3971
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
20020124317
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2007007999
MO
Other
Enumeration date
05/31/2007
Last updated
06/25/2024
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