Individual
SAMUEL AKIDIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-1840
(316) 293-1866
Mailing address
PO BOX 1358, WICHITA, KS 67201-1358
(316) 293-3429
(316) 293-1882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-36391
KS
Other
Enumeration date
07/10/2010
Last updated
01/22/2024
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