Individual
DR. SYAM VASIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
701 N 1ST ST, MEMORIAL MEDICAL CENTER DEPARTMENT OF RADIOLOGY, SPRINGFIELD, IL 62781-0001
(217) 788-7021
Mailing address
701 N 1ST ST, MEMORIAL MEDICAL CENTER DEPARTMENT OF RADIOLOGY, SPRINGFIELD, IL 62781-0001
(217) 788-7021
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125-049834
IL
Other
Enumeration date
05/04/2007
Last updated
12/12/2012
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