Most Relevant Information
Provider Data
| NPI Number: | 1003430331 |
| Provider Name: | JAVANTHI THEEGALA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 94-10256 |
Most Important Dates
| Enumeration Date: | 06/02/2020 |
| Last Updated: | 05/24/2022 |
Provider Practice Location
1010 N KANSAS ST
WICHITA
KS
672143124
Practice Location Phone/Fax
| Phone: | 3162932665 |
| Fax: |
Provider Mailing Location
1010 N KANSAS ST
WICHITA
KS
672143124
Provider Mailing Phone/Fax
| Phone: | 3162932665 |
| Fax: |
Suggested EMR
Psychiatry EMR