Organization
P.VASUDEVANMD,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARTHASARATHY VASUDEVAN MD (UROLOGIST)
(870) 739-3019
Entity
Organization
Contact information
Practice address
1393 HIGHWAY 242 SOUTH, WEST HELENA, AR 72342
(870) 338-6749
(870) 572-6558
Mailing address
603 BIG LAKE RD, MARION, AR 72364-2655
(870) 739-3019
(870) 739-3816
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R-2617
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447367354
INDIVIDUAL NPI NO.
AR
Enumeration date
04/26/2007
Last updated
08/22/2020
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