Individual
EVA VACHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E SPRUCE ST, GARDEN CITY, KS 67846-5679
(620) 272-2222
(316) 652-0340
Mailing address
PO BOX 1876, WICHITA, KS 67201-1876
(316) 385-8428
(316) 652-0340
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
0417092
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0417092
KS
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
0417092
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002058
BCBS
KS
05
—
100192910A
—
OK
05
—
100198740A
—
KS
01
—
220016733
RAILROAD MEDICARE
—
Enumeration date
03/07/2006
Last updated
07/12/2010
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