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1023083409
DASA V GANGADHAR
WICHITA, KS
NPI
1023083409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: KS 0425003)
Enumeration Date
2006-02-21
Last Update Date
2009-02-26
Business Address
-- DASA V GANGADHAR MD
655 N WOODLAWN
WICHITA, KS 67206
Phone number: 316-684-5158
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Mailing Address
-- DASA V GANGADHAR MD
1851 N WEBB RD ATTN FLR2
WICHITA, KS 67206-3413
Phone number: 316-636-2010
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