Healthcare Provider Details

I. General information

NPI: 1639608334
Provider Name (Legal Business Name): NANDHINI SEHAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2017
Last Update Date: 04/16/2021
Certification Date: 04/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 E SPRUCE ST
GARDEN CITY KS
67846-5614
US

IV. Provider business mailing address

1010 N KANSAS ST
WICHITA KS
67214-3124
US

V. Phone/Fax

Practice location:
  • Phone: 620-275-3710
  • Fax: 620-275-3767
Mailing address:
  • Phone: 316-962-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number94-09272
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: