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

DR. SRINIVASA RAO VASA, M.D.

Active Sole Proprietor

DR. SRINIVASA RAO VASA, M.D. is a Gastroenterology healthcare provider located in LEAVENWORTH, Kansas. NPI 1457398190 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · LEAVENWORTH, KS

Registration Details

NPI Number
1457398190
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2006 (20.233394836051 yrs)
Last Updated
May 16, 2020
License
04-27796 (KS)
Sole Proprietor
Yes

Practice Information

Address
3601 S 4TH ST
SUITE #5
LEAVENWORTH, KS, 660485015
Browse KS providers · Browse ZIP 66048
Phone
9132205193
Fax
9138149989
Primary Specialty
Gastroenterology
207RG0100X
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.