Provider Demographics
NPI:1427077445
Name:MURTHY, VYDEHI R (MD)
Entity type:Individual
Prefix:DR
First Name:VYDEHI
Middle Name:R
Last Name:MURTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VYDEHI
Other - Middle Name:N
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4401 WORNALL RD
Mailing Address - Street 2:ST LUKES HOSPITAL NICU
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3220
Mailing Address - Country:US
Mailing Address - Phone:816-932-2493
Mailing Address - Fax:816-932-6139
Practice Address - Street 1:4401 WORNALL RD
Practice Address - Street 2:#2710
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3220
Practice Address - Country:US
Practice Address - Phone:816-932-2493
Practice Address - Fax:816-932-6139
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060286012080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO408188352OtherMO BNDD