Organization
TATPATI MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA A TATPATI M.D. (OWNER)
(316) 689-6803
Entity
Organization
Contact information
Practice address
1515 S CLIFTON AVE, 460, WICHITA, KS 67218-2900
(316) 689-6803
(316) 689-0818
Mailing address
1515 S CLIFTON AVE, 460, WICHITA, KS 67218-2900
(316) 689-6803
(316) 689-0818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17942
KS
Other
Enumeration date
02/27/2006
Last updated
09/07/2007
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