Individual
CHANDRAGOWDA D KALLANAGOWDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-5242
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-5242
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
04-31705
KS
2080A0000X
Pediatric Adolescent Medicine Physician
57675
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200383710C
—
KS
01
—
KA2129016
MEDICARE PTAN
KS
Enumeration date
04/09/2006
Last updated
12/19/2025
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