Healthcare Provider Details

I. General information

NPI: 1427077445
Provider Name (Legal Business Name): VYDEHI R MURTHY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. VYDEHI N RAO

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 08/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 WORNALL RD #2710
KANSAS CITY MO
64111-3220
US

IV. Provider business mailing address

4401 WORNALL RD ST LUKES HOSPITAL NICU
KANSAS CITY MO
64111-3220
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-2493
  • Fax: 816-932-6139
Mailing address:
  • Phone: 816-932-2493
  • Fax: 816-932-6139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number2006028601
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: