Individual
DR. VASANTHA P PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2810 FRANK SCOTT PKWY W STE 716, BELLEVILLE, IL 62223-5007
(618) 355-0880
(618) 355-0881
Mailing address
2810 FRANK SCOTT PKWY W STE 716, BELLEVILLE, IL 62223-5007
(618) 355-0880
(618) 355-0881
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036097852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36097852
—
IL
Enumeration date
10/26/2006
Last updated
04/26/2016
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