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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SRINIVASA REDDY VAKA, MD

Active Sole Proprietor

DR. SRINIVASA REDDY VAKA, MD is a Internal Medicine healthcare provider located in MAPLE GROVE, Minnesota. NPI 1184863938 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MAPLE GROVE, MN

Registration Details

NPI Number
1184863938
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2009 (17.529765605406 yrs)
Last Updated
Sep 23, 2019
Licenses
E7137 (AR)
E7137 (AR)
65117 (MN)
Sole Proprietor
Yes

Practice Information

Address
FAIRVIEW CLINICS-BASS LAKE
6320 WEDGWOOD RD N
MAPLE GROVE, MN, 553113647
Browse MN providers · Browse ZIP 55311
Phone
7632680400
Fax
7632680405
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Hospitalist
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in MAPLE GROVE, MN

Name Credential NPI
DR. KRISTINA R LIAUGAUDAS M.D. 1114902434
DR. APRIL M LIND M.D. 1275518599
PAUL PATTEE 1710964713
MR. AHMED ALI OMAR M.D. 1356312722
DR. LIBIN HO MD-PHD 1932171188
DR. JOHN P REED M.D. 1952366338
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.