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NPI Code Detail

MEDICARE: STEVEN L CHAVEZ M.D.

MEDICARE: STEVEN L CHAVEZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician04-20691KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104-20691OTHERKSKANSAS LICENSE

General Provider Information

NPI Number : 1649277989
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN L CHAVEZ M.D.
Provider Business Mailing Address
First Line : 7104 E GREENBRIAR CIR
Second Line :
City : WICHITA
State : KS
Zip : 67226-1728
Country : US
Telephone Number : 316-688-0312
Fax Number :
Provider Business Practice Location Address
First Line : 9825 SHANNON WOODS
Second Line :
City : WICHITA
State : KS
Zip : 67226-4100
Country : US
Telephone Number : 316-634-2000
Fax Number : 316-634-2321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 07/08/2007

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Directions to “ STEVEN L CHAVEZ M.D.” Practice Location

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