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1457398190
SRINIVASA RAO VASA
LEAVENWORTH, KS
NPI
1457398190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: KS 04-27796)
Enumeration Date
2006-06-01
Last Update Date
2020-05-16
Business Address
Dr. SRINIVASA RAO VASA M.D.
3601 S 4TH ST SUITE #5
LEAVENWORTH, KS 66048-5015
Phone number: 913-220-5193
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Mailing Address
Dr. SRINIVASA RAO VASA M.D.
3601 S 4TH ST SUITE #5
LEAVENWORTH, KS 66048-5015
Phone number: 913-220-5193
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