Ehtisham Neurovascular Institute & Aesthestics P.a.

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

License

04-31300 Issued in KS

Legal business name

EHTISHAM NEUROVASCULAR INSTITUTE & AESTHESTICS P.A.

Practice address

3223 N Webb Rd
Suite 5
Wichita, KS 67226-8175

Phone

(316) 303-2153

Fax

(877) 381-0101

NPI assigned

Nov 29, 2012

Last updated

Nov 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. As'Ad Ehtisham, MD

Title

Owner

Phone

(316) 303-2153

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1508101775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 SHADYBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081862",
            "telephone_number": "316-633-4413",
            "fax_number": "877-381-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "SUITE 5",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175",
            "telephone_number": "316-303-2153",
            "fax_number": "877-381-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHTISHAM NEUROVASCULAR INSTITUTE & AESTHESTICS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "EHTISHAM",
        "authorized_official_first_name": "AS'AD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-303-2153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-31300",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "KS",
            "license": "04-31300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etheta Maria Ehling, CRNA
• Brent Alan Ehresman, DPT
• Natali Danielle Ehresman, DPT
• April Marie Ehret, P.A-C
• Patricia R Ehrlich, CDE
• Jason Allen Eichacker, D.C.
• Sue Eichler, LSCSW
• Lauren Eichman-Thimesch, LMLP
• Freidy Eid, MD
• Leslie Eidem, RPH

• Vascular Neurology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Vascular Neurology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.