Individual
DR. CHIVUKULA SUBBARAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10111 E 21ST ST N STE 305, WICHITA, KS 67206-3581
(316) 305-9618
(316) 440-9701
Mailing address
10111 E 21ST ST N STE 305, WICHITA, KS 67206-3581
(316) 305-9618
(316) 440-9701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-29669
KS
2086S0129X
Vascular Surgery Physician
04-29669
KS
Other
Enumeration date
08/08/2006
Last updated
04/12/2021
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