Organization
VVASUDEVAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYA N VASUDEVAN MD (OWNER/PHYSICIAN)
(636) 206-6022
Entity
Organization
Contact information
Practice address
5401 VETERANS MEMORIAL PKWY STE 200, SAINT PETERS, MO 63376-1687
(636) 206-6022
(780) 328-3971
Mailing address
PO BOX 173, SAINT CHARLES, MO 63302-0173
(314) 952-8009
(888) 511-1238
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
04/07/2022
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