Kota, Vasudha

Kota, Vasudha is an sole proprietor health care provider with primary practice located at 940 W Mount Vernon St Ste 200 , Nixa MO 65714-9613. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kota, Vasudha can be contacted via phone (417) 724-5200.

Contact Information

Primary practice address
940 W Mount Vernon St Ste 200 Nixa MO 65714-9613
Phone: (417) 724-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2023026693 Missouri

Profile Details

NPI number 1669092243
LBN Legal business name Kota, Vasudha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2020
Last updated Jul 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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