MEDICARE: SHESHADRI MADHUSUDHANA 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	207RH0003X	Hematology & Oncology Physician	2011002811	MO

General Provider Information

NPI Number	:	1437188000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHESHADRI MADHUSUDHANA M.D

Provider Business Mailing Address
First Line	:	2310 HOLMES ST
Second Line	:	STE 800
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-2602
Country	:	US
Telephone Number	:	816-218-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 HOLMES ST
Second Line	:	STE 500
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-2602
Country	:	US
Telephone Number	:	816-404-4375
Fax Number	:	816-404-4337

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	08/08/2016

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