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BALA BHASKAR REDDY BHIMAVARAPU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
848 N SAINT FRANCIS ST STE 3901, WICHITA, KS 67214
(316) 268-5000
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-38863
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003719466
MEDICARE
Enumeration date
05/20/2013
Last updated
05/14/2018
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