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Individual

DR. RONALD S SUH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 AVON MARKETPLACE STE 200, AVON, IN 46123-6021
(317) 890-2000
(317) 671-8033
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 807-1262
(317) 859-4268

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01060497A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000366998
ANTHEM PIN NUMBER
IN
01
100194370
MEDICAID GROUP NUMBER
IN
01
1487680518
GROUP NPI
IN
01
200288740
MEDICAID GROUP NUMBER
IN
05
200523730
IN
01
P00260933
MEDICARE RAILROAD
IN
Enumeration date
07/28/2006
Last updated
07/23/2025
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