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Contact Information

MITHULYA AMBOO MAHENTHERAN, MD
2301 HOLMES ST
KANSAS CITY, MO64108-2640
 Phone: 816-404-0582
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MITHULYA AMBOO MAHENTHERAN · (Female)

NPI # 1912880352
Status Active
Credentials MD
Entity Individual
Enumeration date 07/30/2025
Last updated 07/30/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2025027734
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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