MEDICARE: SETHABEL L ALVARADO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	C4859	KY
2	207L00000X	Anesthesiology Physician	2008018534	MO
3	207L00000X	Anesthesiology Physician	36283	IA
4	207L00000X	Anesthesiology Physician	036123483	IL
5	207L00000X	Anesthesiology Physician	28235	NE

General Provider Information

NPI Number	:	1124235965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETHABEL L ALVARADO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 843966
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-0001
Country	:	US
Telephone Number	:	573-882-3974
Fax Number	:	573-884-0943

Provider Business Practice Location Address
First Line	:	1 HOSPITAL DR
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65212-0001
Country	:	US
Telephone Number	:	573-882-2568
Fax Number	:	573-882-2226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	12/08/2025

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