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Contact Information

CHIVUKULA SUBBARAO, MD
10111 E 21ST ST N STE 305
WICHITA, KS67206-3581
 Phone: 316-305-9618
 Fax: 316-440-9701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for CHIVUKULA SUBBARAO · (Male)

NPI # 1437169109
Status Active
Credentials MD
Entity Individual
Enumeration date 08/08/2006
Last updated 04/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-29669
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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