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Individual

DR. MATHAVI SAHADEVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
16216 BAXTER RD STE 299, CHESTERFIELD, MO 63017-4778
(636) 536-2600
Mailing address
PO BOX 874797, KANSAS CITY, MO 64187-4797
(314) 849-8700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.153168
IL
207R00000X
Internal Medicine Physician
Primary
2021050221
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
YHZ71660775
NJ
Enumeration date
06/09/2017
Last updated
11/07/2025
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