Individual
DONG DAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 789-8444
(316) 652-0340
Mailing address
PO BOX 47890, WICHITA, KS 67201-7890
(316) 685-6112
(316) 652-0340
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-29183
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058400A
—
KS
05
—
100058400A
—
OK
01
—
101201
BCBS
KS
01
—
430066454
RAILROAD MEDICARE
—
Enumeration date
01/28/2006
Last updated
01/14/2014
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