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Search › Missouri › 207RP1001X

Suman Vaddi, M.D

NPI 1790125318 · on the registry since 2013

Practice

Address
1011 Bowles Ave Ste 300
Fenton, MO 63026
Phone
(636) 496-5030
Organisation at this address
Ssm Medical Group
Loup Dialysis Llc
Ssm Medical Group
Ssm Medical Group Inc.
Faris Al-Gebory Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
67

Additional practice sites

  • 1600 E Broadway, Columbia, MO

Registry record

Primary taxonomy
207RP1001X
207RP1001X
Also registered as
207R00000X
207R00000X
208M00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-27

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