Search › Minnesota › 207R00000X
Srinivasa Vaka, MD
NPI 1184863938 · on the registry since 2009 · sole proprietor
Practice
- Address
- Fairview Clinics-Bass Lake
6320 Wedgwood Rd N
Maple Grove, MN 55311 - Phone
- (763) 268-0400
- Fax
- (763) 268-0405
Additional practice sites
- 1 Medical Park Dr, Benton, AR
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
208M00000X - Licence states on file
- AR, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota