Individual
DR. B. V. SHEHAN C. BENERAGAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019027864
MO
208M00000X
Hospitalist Physician
Primary
2019027864
MO
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
07/18/2016
Last updated
10/09/2024
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