Individual
MURALI MOHAN RAO VUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2600
(417) 820-2100
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007017353
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932306941
—
MO
01
—
P00463619
RR MEDICARE
MO
Enumeration date
07/02/2007
Last updated
10/02/2014
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