Individual provider · NPI-1

Dr. Rajeeva K Bashyakarla, M.D.

Anesthesiology · Wichita, KS

NPI number1720068208
StatusActive
Last updated in NPPESApr 4, 2008

Details

NPI
1720068208
Entity type
Individual (NPI-1)
Name
Dr. Rajeeva K Bashyakarla
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 19, 2006
Last updated
Apr 4, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology04-29069KSYes

Practice location

1515 S Clifton Ave
#200
Wichita, KS 67218-2900

Phone 316-618-1515 · Fax 316-618-8635

Mailing address

1515 S Clifton Ave
#200
Wichita, KS 67218-2900

Phone 316-618-1515 · Fax 316-618-8635

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