Individual
DR. SHAILENDRA VIKNESH SELVARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3537 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 561-1933
Mailing address
3537 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 561-1933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2023025078
MO
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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