Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 042239-L | PA |
Y | 207RG0100X | Gastroenterologist | 0426630 | KS |
N | 207RG0100X | Gastroenterologist | 09769R | LA |
NPI | 1003852047 |
---|---|
Provider Name | Dr. Raghu C Chaparala |
First Address | Wichita, KS 67201-3211 |
Second Address | Wichita, KS 67203-2138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 19/03/2014 |