Provider Demographics
NPI:1659335404
Name:BREIT, SHARON K (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:K
Last Name:BREIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10111 E 21ST ST N
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3508
Mailing Address - Country:US
Mailing Address - Phone:316-634-0060
Mailing Address - Fax:316-634-0050
Practice Address - Street 1:10111 E 21ST ST N
Practice Address - Street 2:SUITE 301
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3508
Practice Address - Country:US
Practice Address - Phone:316-634-0060
Practice Address - Fax:316-634-0050
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0423858207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100132550DMedicaid
KS100132550DMedicaid
F29502Medicare UPIN