Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 04-39858 | KS |
NPI | 1689087942 |
---|---|
Provider Name | Apeksha Sathyaprasad |
First Address | Wichita, KS 67208-3007 |
Second Address | Wichita, KS 67208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2014 |
Last Update Date | 01/06/2018 |