Individual
SUMITRA DEVI VASIREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
14911 STRAUB HILL LN, CHESTERFIELD, MO 63017-7969
(636) 227-2079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
107195
MO
Other
Enumeration date
05/17/2006
Last updated
04/25/2013
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