Organization Active NPI

Veena Srinivas LLC

  • Radiation Oncology Physician
  • Cape Girardeau, MO
National Provider Identifier
1124278353
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2005035771 Issued in MO
Legal business name
VEENA SRINIVAS LLC
Practice address
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone
(573) 334-2230
Fax
(573) 651-6499
NPI assigned
Sep 24, 2008
Last updated
Jun 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Veena D Divecha, M.D
Title
Radiation Oncologist
Phone
(314) 775-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0001X 2005035771 MO Primary

Addresses

Primary practice location

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049

Mailing address

PO Box 190
Cape Girardeau, MO 63702-0190
Phone (573) 334-2230

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1124278353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637020190",
            "telephone_number": "573-334-2230",
            "fax_number": "573-651-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SAINT FRANCIS DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035049",
            "telephone_number": "573-334-2230",
            "fax_number": "573-651-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEENA SRINIVAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "DIVECHA",
        "authorized_official_first_name": "VEENA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RADIATION ONCOLOGIST",
        "authorized_official_telephone_number": "314-775-1999",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2005035771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.