Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shivarajan Manickavasagam Amudhavalli, MBBS

Individual provider Clinical Genetics (M.D.) Physician · NPI 1700021706

Dr. Shivarajan Manickavasagam Amudhavalli, MBBS is a Clinical Genetics (M.D.) Physician in Kansas City, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2008.

Licensed in
KS, MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
Fax: (816) 302-9939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence 201029319 (MO)
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X · Licence 0436759 (KS)

Record details

NPI number1700021706
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedDecember 5, 2008
Last updated in NPPESJuly 18, 2026
Certification dateJuly 18, 2026

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