Individual
DR. VINODH VASUDEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9059 W LAKE PLEASANT PKWY STE E-540, PEORIA, AZ 85382
(632) 322-3380
(623) 322-4399
Mailing address
9059 W LAKE PLEASANT PKWY STE E-540, PEORIA, AZ 85382
(632) 322-3380
(623) 322-4399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35728
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168411-01
—
AZ
Enumeration date
08/31/2006
Last updated
07/22/2019
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