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

Selvaraj Muthusamy, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1407260938

Selvaraj Muthusamy, MD is a Pathology in Saint Louis, Missouri. Qualified in 2003, 23 years ago. Practices with Mcv Associated Physicians, a 1,767-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
23
Licensed in
MO
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1325 S Grand Blvd Rm 436
Saint Louis, MO 63104-1018
Phone: (314) 577-8694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 2014016506 (MO)

Record details

NPI number1407260938
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2014
Last updated in NPPESJanuary 22, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice McV Associated Physicians — 1767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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