# RALPH BHARATI, MD, PA

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

## Provider details

- **NPI number:** 1932292547
- **Authorized official:** MR. GARY L JOHNSON CADC, RAODAC (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (316) 686-7884

## Contact information

- **Practice address:** 8911 E ORME, SUITE A, WICHITA, KS 67207
- **Practice address phone:** (316) 686-7884
- **Practice address fax:** (316) 686-0036
- **Mailing address:** 8911 E ORME, SUITE A, WICHITA, KS 67207
- **Mailing address phone:** (316) 686-7884
- **Mailing address fax:** (316) 686-0036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | 1068 | KS | — |
| 1041C0700X | Clinical Social Worker | 0858 | KS | — |
| 1041C0700X | Clinical Social Worker | 1161 | KS | — |
| 106H00000X | Marriage & Family Therapist | 112 | KS | — |
| 106H00000X | Marriage & Family Therapist | 242 | KS | — |
| 2084P0800X | Psychiatry Physician | 0421258 | KS | — |
| 2084P0802X | Addiction Psychiatry Physician | 0421258 | KS | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 74633 | KS | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 05/16/2008