# WICHITA AMBULATORY ANESTHESIA PROVIDERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649754789
- **Authorized official:** SOUNIDA DOUANGPRASEUTH MD (PARTNERSHIP REPRESENTATIVE)
- **Authorized official phone:** (316) 516-7361

## Contact information

- **Practice address:** 818 N EMPORIA ST STE 108, WICHITA, KS 67214-3725
- **Practice address phone:** (316) 281-3700
- **Mailing address:** 330 W 2ND ST N UNIT 3358, WICHITA, KS 67201-0239
- **Mailing address phone:** (316) 516-7361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2018
- **Last updated:** 12/20/2018
