Individual
SASHIDHAR MANTHRAVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2529 GLENN HENDREN DR STE G30, LIBERTY, MO 64068-9610
(816) 251-5600
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 251-5600
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0443161
KS
207RH0003X
Hematology & Oncology Physician
Primary
2023026075
MO
Other
Enumeration date
03/28/2014
Last updated
08/16/2023
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