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HEARTLAND SURGERY PA NPI 1215121744


NPI Information

NPI: 1215121744
Provider Name: HEARTLAND SURGERY, PA
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1431 S BLUFFVIEW DR
STE #209
WICHITA, KS
ZIP 67218
Phone: (316) 683-3600
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HEARTLAND SURGERY, PA is a vascular surgery surgery in Wichita, KS. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. HEARTLAND SURGERY, PA NPI is 1215121744. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1431 S BLUFFVIEW DR
STE #209
WICHITA, KS
ZIP 67218-039
Phone: (316) 683-3600
Fax: (316) 683-3635

The provider's authorized official is Chivukula Subbarao .
The authorized official title is Owner and has the following contact phone number (316) 683-3600.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 8/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110926OTHERKANSASBCBS OF KS
2110926MEDICARE PINKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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