Provider Demographics
NPI:1073584728
Name:TATPATI, LAURA LYNN (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LYNN
Last Name:TATPATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9300 E 29TH ST N STE 102
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-3007
Mailing Address - Country:US
Mailing Address - Phone:316-687-2112
Mailing Address - Fax:316-687-1260
Practice Address - Street 1:9300 E 29TH ST N STE 102
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-3007
Practice Address - Country:US
Practice Address - Phone:316-687-2112
Practice Address - Fax:316-687-1260
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2011-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-29670207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS04-29670OtherKANSAS STATE LICENSE