Healthcare Provider Details

I. General information

NPI: 1952226599
Provider Name (Legal Business Name): CHARMEE VIPUL PATADIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N KANSAS STREET
WICHITA KS
67214
US

IV. Provider business mailing address

1010 N KANSAS STREET
WICHITA KS
67214
US

V. Phone/Fax

Practice location:
  • Phone: 316-293-2665
  • Fax:
Mailing address:
  • Phone: 316-293-2665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number94-12781
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: