Individual
SREE NAGA VISHNU VAR MOTUPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 HEARTLAND RD STE 3800, SAINT JOSEPH, MO 64506-6201
(816) 671-4800
(816) 233-4021
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 671-4800
(816) 233-4021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023028058
MO
207R00000X
Internal Medicine Physician
MT221723
PA
Other
Enumeration date
07/21/2020
Last updated
08/23/2024
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