SRIRAM VISSA, MD

Internal Medicine

Active Individual
NPI: 1558334573

Practice Address

12303 DE PAUL DR
Bridgeton, MO 63044

Phone: (314) 317-0600

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes 2004016757 (MO)
Hospitalist 208M00000X No 2004016757 (MO)

Frequently Asked Questions

NPI 1558334573 is the National Provider Identifier for SRIRAM VISSA, MD, a Internal Medicine provider located in Bridgeton, MO. This NPI was enumerated on February 9, 2006.
SRIRAM VISSA, MD practices at 12303 DE PAUL DR, Bridgeton, MO 63044.

Quick Facts

NPI
1558334573
Type
Individual
Enumerated
Feb 9, 2006
Last Updated
Jun 19, 2014

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