Manickavasagam Amudhavalli, Shivarajan

Manickavasagam Amudhavalli, Shivarajan is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Manickavasagam Amudhavalli, Shivarajan can be contacted via phone (816) 234-3000.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (816) 234-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 201029319 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X P23802 Maryland

Profile Details

NPI number 1700021706
LBN Legal business name Manickavasagam Amudhavalli, Shivarajan
Credentials M.B.B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2008
Last updated Oct 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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