Most Relevant Information
Provider Data
| NPI Number: | 1003256645 |
| Provider Name: | VINEELA KASIREDDY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | MT203402 |
Most Important Dates
| Enumeration Date: | 06/27/2013 |
| Last Updated: | 02/04/2022 |
Provider Practice Location
1432 SOUTHWEST BLVD
JEFFERSON CITY
MO
651092444
Practice Location Phone/Fax
| Phone: | 5736324800 |
| Fax: |
Provider Mailing Location
1432 SOUTHWEST BLVD
JEFFERSON CITY
MO
651092444
Provider Mailing Phone/Fax
| Phone: | 5736324800 |
| Fax: |
Suggested EMR
Internist EMR