Individual
VAMSEE PRIYA MARINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-9591
Mailing address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 354-9591
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
04-35097
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002124
MEDICARE PTAN
KS
05
—
200730930A
—
KS
Enumeration date
08/01/2008
Last updated
12/19/2011
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