Organization
RALPH BHARATI, MD,PA
Active
Other names
Lab Services
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L JOHNSON (ADMINISTRATOR)
(316) 686-7884
Entity
Organization
Contact information
Practice address
8911 E ORME ST, SUITE A, WICHITA, KS 67207-2423
(316) 686-7884
(316) 686-0036
Mailing address
8911 E ORME ST, SUITE A, WICHITA, KS 67207-2423
(316) 686-7884
(316) 686-0036
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117918
BCBS LAB
KS
Enumeration date
05/31/2007
Last updated
08/22/2020
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