Individual
RANJINI R MADHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9335
Mailing address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-29924
KS
207R00000X
Internal Medicine Physician
C54243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200254520F
—
KS
Enumeration date
06/03/2006
Last updated
01/25/2016
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