Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHIVARAJAN MANICKAVASAGAM AMUDHAVALLI, M.B.B.S.
ActiveDR. SHIVARAJAN MANICKAVASAGAM AMUDHAVALLI, M.B.B.S. is a Geriatric Psychiatry healthcare provider located in KANSAS CITY, Missouri. NPI 1700021706 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychiatry · KANSAS CITY, MO
Registration Details
- NPI Number
- 1700021706
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2008 (17.502525924061 yrs)
- Last Updated
- Oct 26, 2012
- Licenses
-
201029319 (MO)P23802 (MD)
Practice Information
- Address
-
2401 GILLHAM RDKANSAS CITY, MO, 641084619Browse MO providers · Browse ZIP 64108
- Phone
- 8162343000
- Primary Specialty
-
Geriatric Psychiatry
207SG0201X
- Additional Specialty
- Pediatrics
Other Geriatric Psychiatry Providers in KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| DR. MAJED J DASOUKI | MD | 1568454981 |
| BRYCE ARIC HEESE | MD | 1689651218 |
| DR. ERIC THOMAS RUSH | M.D. | 1952420705 |
| BONNIE RAE SULLIVAN | M.D. | 1275910366 |
| ANGELA LEE | MD | 1104486638 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.