NPI 1700021706

Shivarajan Manickavasagam Amudhavalli, MBBS

Practitioner Clinical Genetics (M.D.) Physician Kansas City, MO

Practice location

Address: 2401 Gillham Rd, Kansas City, MO 64108-4619
Phone: (816) 234-3000
Fax: (816) 302-9939
Mailing address: 2401 Gillham Rd Attn: Provider Enrollment Dept, Kansas City, MO 64108-4619

Registered specialties (2)

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 201029319 (MO)

Other Medical Genetics providers in Missouri →

Clinical Genetics (M.D.) Physician

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 0436759 (KS)

Registry record

NPI: 1700021706
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2008
Record last updated: 18 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.