Provider Demographics
NPI:1457517864
Name:DANDU, VASUKI (MD)
Entity Type:Individual
Prefix:
First Name:VASUKI
Middle Name:
Last Name:DANDU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11001 EXECUTIVE CENTER DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:501-812-7800
Mailing Address - Fax:501-812-7777
Practice Address - Street 1:9600 BAPTIST HEALTH DRIVE
Practice Address - Street 2:SUITE 320
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6322
Practice Address - Country:US
Practice Address - Phone:501-227-0421
Practice Address - Fax:501-812-7777
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2019-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-75952084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology