Provider Demographics
NPI:1437188000
Name:MADHUSUDHANA, SHESHADRI (MD)
Entity Type:Individual
Prefix:
First Name:SHESHADRI
Middle Name:
Last Name:MADHUSUDHANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 HOLMES ST
Mailing Address - Street 2:STE 800
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2602
Mailing Address - Country:US
Mailing Address - Phone:816-218-2500
Mailing Address - Fax:
Practice Address - Street 1:2310 HOLMES ST
Practice Address - Street 2:STE 500
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2602
Practice Address - Country:US
Practice Address - Phone:816-404-4375
Practice Address - Fax:816-404-4337
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011002811207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology