Javanthi Theegala, MD
Psychiatry & Neurology, Psychiatry in Wichita, KS. Individual provider (NPI-1).
NPI number1003430331
StatusActive
Last updated in NPPESMay 24, 2022
Details
- NPI
- 1003430331
- Entity type
- Individual (NPI-1)
- Name
- Javanthi Theegala
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2020
- Certification date
- May 24, 2022
- Last updated
- May 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 94-10256 | KS | Yes |
Practice location
1010 N Kansas StWichita, KS 67214-3124
Phone 316-293-2665
Mailing address
1010 N Kansas StWichita, KS 67214-3124
Phone 316-293-2665
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