Individual
RITA R. TABLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
619 SW CORPORATE VIEW, TOPEKA, KS 66615-1233
(785) 235-3322
(785) 246-6258
Mailing address
619 SW CORPORATE VIEW, TOPEKA, KS 66615-1233
(785) 235-3322
(785) 246-6258
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-28223
KS
207WX0107X
Retina Specialist (Ophthalmology) Physician
0428223
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056924
BCBS OF KS
KS
05
—
100346000A
—
KS
01
—
180037324
PALMETTO GBA
KS
Enumeration date
08/30/2006
Last updated
04/10/2017
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