Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0428594 | KS |
NPI | 1013994979 |
---|---|
Provider Name | Pat Dinh Do |
First Address | Wichita, KS 67206-3405 |
Second Address | Wichita, KS 67206-3405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 10/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H27384 | (02) | KS |