1316157506 NPI number — MRS. SAPANA DIXIT RPT

Table of content: MRS. SAPANA DIXIT RPT (NPI 1316157506)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316157506 NPI number — MRS. SAPANA DIXIT RPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DIXIT
Provider First Name:
SAPANA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316157506
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/28/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5500 E. KELLOGG AVE
Provider Second Line Business Mailing Address:
VA MEDICAL CENTER
Provider Business Mailing Address City Name:
WICHITA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-878-6881
Provider Business Mailing Address Fax Number:
620-423-1535

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5500 E KELLOGG
Provider Second Line Business Practice Location Address:
ROBERT J DOLE VA MEDICAL CENTER
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-878-6881
Provider Business Practice Location Address Fax Number:
620-423-1538
Provider Enumeration Date:
05/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  11-03194 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200364610A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com