Active NPI
Parula Prakash Raghavan, MD
- Specialist
- Wichita, KS
National Provider Identifier
1992707434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 04-18926
- Practice address
- 1035 N Emporia St
Suite 245
Wichita, KS 67214-2944 - Phone
- (316) 262-7662
- Fax
- (316) 262-8320
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 04-18926 | KS | Primary |
Addresses
Primary practice location
1035 N Emporia St
Suite 245
Wichita, KS 67214-2944
Mailing address
1035 N Emporia
Suite 245
Wichita, KS 67214-2972
Phone (316) 634-0482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100207080A | Medicaid | KS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1992707434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 N EMPORIA",
"address_2": "SUITE 245",
"city": "WICHITA",
"state": "KS",
"postal_code": "672142972",
"telephone_number": "316-634-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 N EMPORIA ST",
"address_2": "SUITE 245",
"city": "WICHITA",
"state": "KS",
"postal_code": "672142944",
"telephone_number": "316-262-7662",
"fax_number": "316-262-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGHAVAN",
"first_name": "PARULA",
"middle_name": "PRAKASH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "04-18926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100207080A",
"state": "KS"
}
],
"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 Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.