Sridevi Vasa
Family Doctor Family Doctor - Adult Medicine
9055 Springbrook Dr Nw
Coon Rapids
, Minnesota 55433-5841
Sridevi Vasa
Family Doctor Family Doctor - Adult Medicine
9055 Springbrook Dr Nw
Coon Rapids
, Minnesota 55433-5841
(612) 262-5000
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About
Features
Specialties
- Family Doctor
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Sridevi Vasa
- 9055 Springbrook Drive
- Coon Rapids, MN
- Zip : 55433
- Phone : (612) 262-5000
Second Address
- Sridevi Vasa
- 9055 Springbrook Dr Nw
- Coon Rapids, MN
- Zip : 55433-5841
- Phone : (763) 236-8000
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Is Sridevi Vasa accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 58553 | MN |
| N | 207QA0505X | Family Doctor - Adult Medicine | 58553 | MN |
National Provider Identifier
| NPI | 1154687671 |
|---|---|
| Provider Name | Sridevi Vasa |
| First Address | Coon Rapids, MN 55433 |
| Second Address | Coon Rapids, MN 55433-5841 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2012 |
| Last Update Date | 10/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.