Individual
SOWMITHRI VASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4911 S ARROWHEAD DR, SUITE 200, INDEPENDENCE, MO 64055-7005
(816) 795-9595
(816) 795-1188
Mailing address
4911 S ARROWHEAD DR, SUITE 200, INDEPENDENCE, MO 64055-7005
(816) 795-9595
(816) 795-1188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301078085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770598377
—
MO
05
—
200599850A
—
KS
Enumeration date
07/30/2006
Last updated
02/11/2022
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