Individual
DR. SRINIVASA RAO VASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 S 4TH ST, SUITE #5, LEAVENWORTH, KS 66048-5015
(913) 220-5193
(913) 814-9989
Mailing address
3601 S 4TH ST, SUITE #5, LEAVENWORTH, KS 66048-5015
(913) 220-5193
(913) 814-9989
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04-27796
KS
Other
Enumeration date
06/01/2006
Last updated
05/16/2020
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