Individual
VENKATA SUBBARAO CHOWDARY BOPPANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 N WEBB RD, WICHITA, KS 67226-8127
(316) 686-5300
(316) 651-2660
Mailing address
3535 N WEBB RD, WICHITA, KS 67226-8127
(316) 686-5300
(316) 651-2660
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-39962
KS
207RI0011X
Interventional Cardiology Physician
Primary
04-39962
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201161990A
—
KS
Enumeration date
08/28/2010
Last updated
11/21/2019
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