| Ehtisham Neurovascular Institute & Aesthestics P.a. | |
|
3223 N Webb Rd Suite 5 Wichita KS 67226-8175 | |
| (316) 303-2153 | |
| (877) 381-0101 |
| Full Name | Ehtisham Neurovascular Institute & Aesthestics P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Vascular Neurology |
| Location | 3223 N Webb Rd, Wichita, Kansas |
| Authorized Official Name and Position | As'ad Ehtisham (OWNER) |
| Authorized Official Contact | 3163032153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ehtisham Neurovascular Institute & Aesthestics P.a. 6120 Shadybrook St Wichita KS 67208-1862 Ph: (316) 633-4413 | Ehtisham Neurovascular Institute & Aesthestics P.a. 3223 N Webb Rd Suite 5 Wichita KS 67226-8175 Ph: (316) 303-2153 |
| NPI Number | 1508101775 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508101775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 04-31300 (Kansas) | Secondary |
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | 04-31300 (Kansas) | Primary |
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