Heartland Surgery, Pa in Wichita - Vascular Surgery

Heartland Surgery, Pa - NPI 1215121744

Heartland Surgery, Pa is a Vascular Surgery in Wichita, Kansas. Heartland Surgery, Pa practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Heartland Surgery, Pa is 1215121744. The last update date is 2007-08-28.

Heartland Surgery, Pa's current location address is 1431 S Bluffview Dr, Wichita, Kansas. You can contact this provider via phone number 3166833600 and fax number 3166833635. The mailing address for Heartland Surgery, Pa is 1431 S Bluffview Dr, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Heartland Surgery, Pa
Address 1431 S Bluffview Dr, Wichita, Kansas
Phone Number 3166833600
Fax Number 3166833635
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Subbarao Chivukula
Credentials MD
Telephone Number 3166833600

NPI Number Detail

NPI Number 1215121744
Provider Enumeration Date 2007-08-28
Last Updated Date 2007-08-28

Provider Mailing Address Detail

Address 1431 S Bluffview Dr
City Wichita
State Kansas (KS)
Post Code 672183039
Phone Number 3166833600
Fax Number 3166833635

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110926 KS BCBS OF KS

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FAQs about Heartland Surgery, Pa

What is the unique identifier code issued to Heartland Surgery, Pa by the Centers for Medicare & Medicaid Services (CMS)?

The Heartland Surgery, Pa has been assigned the NPI (National Provider Identifier) 1215121744. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Heartland Surgery, Pa is located?

The Heartland Surgery, Pa is situated at the following address: 1431 S Bluffview Dr, Wichita, KS, 672183039.

What is Heartland Surgery, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Heartland Surgery, Pa is Vascular Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0129X.

On what date did the Heartland Surgery, Pa receive its 1215121744 assignment from the Centers for Medicare & Medicaid Services?

The Heartland Surgery, Pa was assigned its 1215121744 by the Centers for Medicare & Medicaid Services on 2007-08-28.

As of what date was the information regarding Heartland Surgery, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Heartland Surgery, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-28.

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