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Individual

MS. AMITA VASUDEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2340 E MEYER BLVD, BLDG 2, SUITE, KANSAS CITY, MO 64132
(816) 276-1700
(816) 276-1703
Mailing address
2340 E MEYER BLVD, BLDG 2, SUITE, KANSAS CITY, MO 64132
(816) 276-1700
(816) 276-1703

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51738
NY
207RN0300X
Nephrology Physician
Primary
2017033085
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629200779
MO
05
201197890A
KS
Enumeration date
08/21/2009
Last updated
03/04/2026
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