Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 04-32249 | KS |
N | 111NI0900X | Internist | 04-32249 | KS |
N | 207RC0200X | Critical Care Medicine | 04-32249 | KS |
Y | 207RP1001X | Pulmonary Disease | 04-32249 | KS |
N | 207RS0012X | Sleep Medicine | 04-32249 | KS |
NPI | 1033231006 |
---|---|
Provider Name | Dr. Nader S Eldika |
First Address | Wichita, KS 67220-2729 |
Second Address | Wichita, KS 67220-2729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200431080A | (05) | KS |
200431080C | (05) | KS |