P.Vasudevanmd,PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

R-2617 Issued in AR

Legal business name

P.VASUDEVANMD,PLLC

Practice address

1393 Highway 242 South
West Helena, AR 72342

Phone

(870) 338-6749

Fax

(870) 572-6558

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Parthasarathy Vasudevan, MD

Title

Urologist

Phone

(870) 739-3019

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396965026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BIG LAKE RD",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642655",
            "telephone_number": "870-739-3019",
            "fax_number": "870-739-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 HIGHWAY 242 SOUTH",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "72342",
            "telephone_number": "870-338-6749",
            "fax_number": "870-572-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.VASUDEVANMD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASUDEVAN",
        "authorized_official_first_name": "PARTHASARATHY",
        "authorized_official_title_or_position": "UROLOGIST",
        "authorized_official_telephone_number": "870-739-3019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AR",
            "license": "R-2617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NO.",
            "identifier": "1447367354",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary D Smith
• Ryan Keith McMurray, PHARM D
• Memphis Vamc
• Mauricelm-Lei Millere I, PSYCHIATRY CLINICIAN
• Tasha Mitchell, BA
• Theortres Parham, LPE
• Phillips County Developmental Center
• Phillips County Developmental Center
• Laura Phillips, RN
• Plaza Rehab and Wellness

• All providers in West Helena, AR
• Urology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.