Gangadhar, Dasa V
Gangadhar, Dasa V is an individual health care provider with primary practice located at 655 N Woodlawn , Wichita KS 67206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gangadhar, Dasa V can be contacted via phone (316) 684-5158.Contact Information
Primary practice address
655 N Woodlawn
Wichita KS 67206
Phone: (316) 684-5158
Fax: (316) 681-1005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0425003 | Kansas |
Profile Details
| NPI number | 1023083409 |
|---|---|
| LBN Legal business name | Gangadhar, Dasa V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Feb 26th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023083409 | NPPES |
| Kansas | Other | 180024494 | RAILROAD MEDICARE |
| Kansas | MEDICAID | 100163760B | RAILROAD MEDICARE |
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