VIJAYA NATTUVETTY VASUDEVAN


Address: 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660
Phone: 6362066022

VIJAYA NATTUVETTY VASUDEVAN (NPI# 1265634513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265634513
Entity Type Individual
Full Name VIJAYA NATTUVETTY VASUDEVAN
Credential M.D.
Practice Address 5600 Mexico Rd Ste 21
Saint Peters
MO 63376-1660
Mailing Address 5600 Mexico Rd
Ste 21
Saint Peters
MO 63376-1660
Practice Telephone 6362066022
Practice Fax Number 7803283971
Mailing Telephone 6366692219
Mailing Fax Number 6366692380
Enumeration Date 2007-05-31
Last Update Date 2018-06-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
2007007999 MO Allopathic & Osteopathic Physicians
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
20020124317 MO Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
330 1st Capitol Dr Ste 340, Saint Charles, MO 633012852 6362066022 7803283971

Office Location

Street Address 5600 MEXICO RD STE 21
City SAINT PETERS
State MO
Zip Code 63376-1660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659869857 Vvasudevan LLC Internal Medicine 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 2018-04-24
1962675744 Boonslick Pediatrics Preferred Provider Organization 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 2008-04-11
1275714784 Venkata Kr Bodavula Surgery 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 2007-11-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275047946 Nicholas Christian Schultz Dentist 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 2017-11-16
1982120093 Carol Weber Speech-Language Pathologist 166 Boone Hills Dr., St Peters, MO 63376 2017-08-21
1619424744 Forefront Dermatology, S.c. Dermatology 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 2016-09-07
1508310632 Preferred Family Healthcare, Inc. Counselor 2120 Parkway Dr, Saint Peters, MO 63376 2016-08-05
1598130676 Delta Center Personal Attendant Services In Home Supportive Care 3833 Mcclay, Suite 61, St. Peters, MO 63376 2015-12-01
1427420314 Barbara Marlene Edelman Counselor 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 2015-10-30
1255740247 Claire Williams Dentist 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 2014-08-05
1184042855 Keith Wickenhauser Internal Medicine 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 2014-03-31
1821415233 Abby Link Physician Assistant 107 Piper Parkway, #150, St. Peters, MO 63376 2014-03-24
1225452105 Ashley Gagel Physical Therapist 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 2014-02-12
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235300286 Internal Medicine & Geriatrics Associates, Inc Internal Medicine 70 Jungermann Cir, Suite 202, Saint Peters, MO 63376-1622 2008-03-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164037875 Visiting Physicians LLC Internal Medicine 108 E Green Meadows Rd Ste 3, Columbia, MO 65203-3633 2020-09-10
1023572690 Specialist In Aging Successfully LLC Internal Medicine 12255 De Paul Dr Ste 260, Bridgeton, MO 63044-2510 2019-01-28
1023592946 Institute of Medicine LLC Internal Medicine 6824 Balson Ave, Saint Louis, MO 63143-2603 2018-09-17
1104235241 Generation Clinical Partners LLC Internal Medicine 11500 Olive Blvd Ste 235, Saint Louis, MO 63141-7141 2014-08-02
1477967883 Medical Directors of The Ozarks LLC Internal Medicine 302 Veterans Blvd, Branson, MO 65616-2091 2014-06-13
1306133012 Karen Markeisha Sobers Internal Medicine 901 Patients First Dr Ste 3881, Washington, MO 63090-4700 2011-07-01
1285881912 Gopal K Nair, Md, PC Internal Medicine 1023 Arlington Oaks Ter, Chesterfield, MO 63017-5936 2008-08-25
1154577799 Stanley Sharp Md Lc Internal Medicine 1310 Carondelet Dr Ste 230, Kansas City, MO 64114-4853 2008-08-14
1558563890 Hassan Dawoud Elsiddig Internal Medicine 3660 Vista Ave # 204, Saint Louis, MO 63110-2540 2007-05-31
1871795104 Shehla Sadiq Internal Medicine 3660 Vista Ave # 2104, Saint Louis, MO 63110-2540 2007-05-31
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Competitor

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City SAINT PETERS
Zip Code 63376

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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