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Individual

GEETHA RAMESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
818 N CARRIAGE PKWY, WICHITA, KS 67208-4500
(316) 651-2252
(316) 651-2314
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9769

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-35067
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-35067
STATE LICENSE
KS
05
200741170B
KS
01
P01276363
RR MEDICARE
Enumeration date
09/08/2008
Last updated
09/30/2016
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