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

SRIRAM VISSA, MD

Active

SRIRAM VISSA, MD is a Internal Medicine healthcare provider located in BRIDGETON, Missouri. NPI 1558334573 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · BRIDGETON, MO

Registration Details

NPI Number
1558334573
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2006 (20.525686880387 yrs)
Last Updated
Jun 19, 2014
Licenses
2004016757 (MO)
2004016757 (MO)

Practice Information

Address
12303 DE PAUL DR
BRIDGETON, MO, 630442512
Browse MO providers · Browse ZIP 63044
Phone
3143170600
Fax
3143170606
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Hospitalist

Other Internal Medicine Providers in BRIDGETON, MO

Name Credential NPI
ROBERT BYRNE M.D. 1124009022
LESLIE LAUNCH M.D. 1346221090
SEAN T MCLAUGHLIN M.D. 1023099785
NAVID S SIDDIQUI MD 1083692677
IMRAN HANAFI MD 1588637516
RADHIKA JALADI MD 1376516302
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.