Provider Demographics
NPI:1336326438
Name:VUYYURU, SRILAKSHMI (MD,)
Entity type:Individual
Prefix:DR
First Name:SRILAKSHMI
Middle Name:
Last Name:VUYYURU
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1056 MIREMONT DR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4340
Mailing Address - Country:US
Mailing Address - Phone:313-595-3148
Mailing Address - Fax:
Practice Address - Street 1:1056 MIREMONT DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63011-4340
Practice Address - Country:US
Practice Address - Phone:313-595-3148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301082063207V00000X
IL036140718207V00000X
MO2008024825207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology