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Organization

RALPH BHARATI, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY L JOHNSON CADC, RAODAC (PRACTICE ADMINISTRATOR)
(316) 686-7884
Entity
Organization

Contact information

Practice address
8911 E ORME, SUITE A, WICHITA, KS 67207
(316) 686-7884
(316) 686-0036
Mailing address
8911 E ORME, SUITE A, WICHITA, KS 67207
(316) 686-7884
(316) 686-0036

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103TC0700X
Clinical Psychologist
1068
KS
1041C0700X
Clinical Social Worker
0858
KS
1041C0700X
Clinical Social Worker
1161
KS
106H00000X
Marriage & Family Therapist
112
KS
106H00000X
Marriage & Family Therapist
242
KS
2084P0800X
Psychiatry Physician
0421258
KS
2084P0802X
Addiction Psychiatry Physician
Primary
0421258
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
74633
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100370500A
KS
Enumeration date
10/02/2006
Last updated
05/16/2008
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