Provider Demographics
NPI:1942315114
Name:DARABANT, TITUS E (MD)
Entity Type:Individual
Prefix:DR
First Name:TITUS
Middle Name:E
Last Name:DARABANT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7940 SW 19TH TER
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1536
Mailing Address - Country:US
Mailing Address - Phone:785-478-3397
Mailing Address - Fax:
Practice Address - Street 1:2200 SW GAGE BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66622-0001
Practice Address - Country:US
Practice Address - Phone:785-350-3111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS423334207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100120430DMedicaid
KS20-506562-01Medicaid
KS1942315114OtherBLUE SHIELD
KS100120430EMedicaid
ILP00608059OtherRAILROAD MEDICARE
KS106006Medicare PIN
KS100120430EMedicaid
KS100120430DMedicaid