Organization
VASANTHA PAI M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASANTHA PERAJE PAI M.D. (GASTROENTEROLOGIST)
(618) 355-0880
Entity
Organization
Contact information
Practice address
300 W LINCOLN ST STE 302, BELLEVILLE, IL 62220-1987
(618) 355-0880
(618) 355-0881
Mailing address
2810 FRANK SCOTT PKWY W STE 716, BELLEVILLE, IL 62223-5007
(618) 355-0880
(618) 355-0881
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Enumeration date
08/17/2007
Last updated
11/08/2007
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