Healthcare Provider Details

I. General information

NPI: 1467401349
Provider Name (Legal Business Name): BAJAJ ELECTROPHYSIOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3243 E MURDOCK ST SUITE #510
WICHITA KS
67208-3052
US

IV. Provider business mailing address

3243 E MURDOCK ST SUITE #510
WICHITA KS
67208-3052
US

V. Phone/Fax

Practice location:
  • Phone: 316-683-4800
  • Fax: 316-683-4810
Mailing address:
  • Phone: 316-683-4800
  • Fax: 316-683-4810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHOK K BAJAJ
Title or Position: PRESIDENT
Credential: MD
Phone: 316-683-4800