Individual
MATHUSHAN GNANASEGARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 WORNALL RD., KANSAS CITY, MO 64111
(816) 932-2107
Mailing address
4401 WORNALL RD., KANSAS CITY, MO 64111
(816) 932-2107
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2022023035
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2022
Last updated
08/29/2022
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