Organization
VRD RADIATION ONCOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATA R DEVINENI MD (PRESIDENT)
(314) 344-6090
Entity
Organization
Contact information
Practice address
12303 DE PAUL DR, DEPT. OF RADIATION ONCOLOGY, BRIDGETON, MO 63044-2512
(314) 344-6090
(314) 344-6093
Mailing address
2260 BARNBRIDGE RD, SAINT LOUIS, MO 63131-3130
(314) 344-6090
(314) 344-6093
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
MO
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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