Individual
SHARAD CHANDRA MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 LINWOOD BOULEVARD, PATHOLOGY AND LABORATORY MEDICINE SERVICE, VA MED CTR, KANSAS CITY, MO 64128
(816) 861-4700
(816) 922-4633
Mailing address
4801 LINWOOD BOULEVARD, PATHOLOGY AND LABORATORY MEDICINE SERVICE, VA MED CTR, KANSAS CITY, MO 64128
(816) 861-4700
(816) 922-4633
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
04-30948
KS
207ZH0000X
Hematology (Pathology) Physician
2006006809
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-30948
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2006006809
MO
Other
Enumeration date
07/04/2006
Last updated
09/28/2015
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