Dasa V Gangadhar
Ophthalmologist
655 N Woodlawn
Wichita
, Kansas 67206
Dasa V Gangadhar
Ophthalmologist
655 N Woodlawn
Wichita
, Kansas 67206
(316) 858-3830
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dasa V Gangadhar
- 1851 N Webb Rd Attn Flr2
- Wichita, KS
- Zip : 67206-3413
- Fax : (316) 858-3830
- Phone : (316) 636-2010
Second Address
- Dasa V Gangadhar
- 655 N Woodlawn
- Wichita, KS
- Zip : 67206
- Fax : (316) 681-1005
- Phone : (316) 684-5158
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 0425003 | KS |
National Provider Identifier
| NPI | 1023083409 |
|---|---|
| Provider Name | Dasa V Gangadhar |
| First Address | Wichita, KS 67206-3413 |
| Second Address | Wichita, KS 67206 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2006 |
| Last Update Date | 26/02/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100163760B | (05) | KS |
| 180024494 | RAILROAD MEDICARE (01) | KS |
| F23707 | (02) | KS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.