Healthcare Provider Details

I. General information

NPI: 1669889978
Provider Name (Legal Business Name): INFECTIOUS DISEASE CONSULTANTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2014
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S HILLSIDE ST STE 150
WICHITA KS
67211-2129
US

IV. Provider business mailing address

310 S HILLSIDE ST STE 150
WICHITA KS
67211-2129
US

V. Phone/Fax

Practice location:
  • Phone: 316-833-1212
  • Fax: 316-264-0908
Mailing address:
  • Phone: 316-833-1212
  • Fax: 316-264-0908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2-13041
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number2-13041
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARGARET HAGAN
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 316-833-1212