Provider Demographics
NPI:1346220837
Name:TOKALA, CHANDRA SEKHAR (MD)
Entity type:Individual
Prefix:DR
First Name:CHANDRA
Middle Name:SEKHAR
Last Name:TOKALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3547
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-3547
Mailing Address - Country:US
Mailing Address - Phone:316-618-8305
Mailing Address - Fax:316-315-0514
Practice Address - Street 1:3223 N. WEBB ROAD
Practice Address - Street 2:SUITE 5
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-8176
Practice Address - Country:US
Practice Address - Phone:316-618-8305
Practice Address - Fax:316-315-0514
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-29152207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
101119Medicare ID - Type Unspecified
H44350Medicare UPIN