Individual
DR. ELIAS CHEDIAK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 MISSOURI ST, STE 1, LAWRENCE, KS 66044-2361
(785) 841-7430
(785) 841-6411
Mailing address
601 MISSOURI ST, STE 1, LAWRENCE, KS 66044-2361
(785) 841-7430
(785) 841-6411
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
14762
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089000A
—
KS
Enumeration date
06/01/2005
Last updated
01/14/2014
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