Individual provider Active NPI

Shobana Kubendran, MBBS, MS, CGC

  • Genetic Counselor (M.S.)
  • Wichita, KS
National Provider Identifier
1245568252
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
NA Issued in KS
Practice address
3243 E Murdock St
Suite 500
Wichita, KS 67208-3052
Phone
(316) 962-3070
Fax
(316) 962-3081
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X NA KS Primary

Addresses

Primary practice location

3243 E Murdock St
Suite 500
Wichita, KS 67208-3052

Mailing address

PO Box 47490
Wichita, KS 67201-7490
Phone (316) 962-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Interoperability endpoints

  • Direct secure messaging: shobana.kubendran@hca3.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1245568252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47490",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017490",
            "telephone_number": "316-962-3150",
            "fax_number": "316-962-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST",
            "address_2": "SUITE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083052",
            "telephone_number": "316-962-3070",
            "fax_number": "316-962-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBENDRAN",
        "first_name": "SHOBANA",
        "credential": "MBBS, MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "KS",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.