Organization
WICHITA NEPHROLOGY GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USHASRI CHALLA MD (PHYSICIAN/OWNER)
(316) 263-5891
Entity
Organization
Contact information
Practice address
818 N EMPORIA ST, SUITE 310, WICHITA, KS 67214
(316) 263-5891
(316) 263-3083
Mailing address
818 N EMPORIA ST, SUITE 310, WICHITA, KS 67214-3729
(316) 263-5891
(316) 263-3083
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100214570A
—
KS
05
—
100708900A
—
OK
Enumeration date
05/15/2006
Last updated
03/29/2021
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