Individual
VIJAY KRISHNA VENKATESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7600
(816) 404-7612
Mailing address
2310 HOLMES ST STE 800, KANSAS CITY, MO 64108-2602
(816) 404-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024016491
MO
Other
Enumeration date
03/22/2019
Last updated
08/28/2024
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