Individual provider · Type 1 NPI

Shivarajan Manickavasagam Amudhavalli, M.B.B.S.

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

NPI number 1700021706 Active

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Call (816) 234-3000 Map

Fax (816) 302-9939

Specialties and licenses

TaxonomyCodeLicense
Clinical Genetics (M.D.) Physician 207SG0201X0436759 (KS)
Clinical Genetics (M.D.) Physician Primary 207SG0201X201029319 (MO)

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

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About NPI 1700021706

Shivarajan Manickavasagam Amudhavalli, M.B.B.S.'s National Provider Identifier is 1700021706, issued on Dec 5, 2008. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Kansas City, MO. The record was last updated on Jul 18, 2026.