Provider Demographics
NPI:1568022598
Name:MARKONDA PATNAIK, ARUNA DEEPTHI (MD)
Entity type:Individual
Prefix:
First Name:ARUNA DEEPTHI
Middle Name:
Last Name:MARKONDA PATNAIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 E MURDOCK ST STE 401
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-3007
Mailing Address - Country:US
Mailing Address - Phone:316-682-5544
Mailing Address - Fax:
Practice Address - Street 1:3243 E MURDOCK ST STE 401
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-3007
Practice Address - Country:US
Practice Address - Phone:316-682-5544
Practice Address - Fax:316-682-9944
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-09904208000000X
KS04491942084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics