Individual
DR. DEEPTHI VODNALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12330 METCALF AVE, SUITE 280, OVERLAND PARK, KS 66213
(816) 931-1883
Mailing address
PO BOX 505008, SAINT LOUIS, MO 63150-5008
(816) 502-7000
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094198
MI
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
2015009833
MO
207RC0000X
Cardiovascular Disease Physician
04-38781
KS
207RC0000X
Cardiovascular Disease Physician
2015009833
MO
Other
Enumeration date
06/29/2009
Last updated
07/10/2018
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