Individual
KIRUBAHARA VAHEESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
641 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6713
(314) 888-4647
(314) 514-4014
Mailing address
641 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6713
(314) 888-4647
(314) 514-4014
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
2011-01362
NC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2012038839
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2795485-00
—
FL
Enumeration date
10/01/2007
Last updated
04/09/2026
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