IndividualActive
Shivarajan Manickavasagam Amudhavalli, M.B.B.S.
NPI 1700021706 · Clinical Genetics (M.D.) Physician · Kansas City, MO
Provider details
- NPI number
- 1700021706
- Entity type
- Individual
- Primary specialty
- Clinical Genetics (M.D.) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.B.B.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 201029319 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
Approximate (ZIP-level) locationGet directions
Mailing address
2401 Gillham Rd
Kansas City, MO 64108-4619
Registry dates
- Enumerated
- 2008-12-05
- Last updated
- 2012-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.