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Individual

DR. PADMAJA VASIREDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.B.B.S

Contact information

Practice address
1101 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-1515
(573) 884-0070
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2007018036
MO

Other

Enumeration date
06/26/2007
Last updated
12/04/2007
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