SearchMissouri208000000X

Vasudha Kota

NPI 1669092243 · on the registry since 2020 · sole proprietor

Practice

Address
940 W Mount Vernon St Ste 200
Nixa, MO 65714
Phone
(417) 724-5200
Organisation at this address
St. John'S Clinic, Inc.
Mercy Pharmacy Services, Llc
St John'S Regional Health Center
Mercy Clinic-Springfield Communities
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Additional practice sites

  • 3901 Beaubien St Ste 3t72, Detroit, MI
  • 4201 St. Antoine, Uhc 9c, Detroit, MI

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
390200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri