Individual
DR. RANGSAN SUVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 LUCY LEE PARKWAY, POPLAR BLUFF, MO 63901
(573) 686-2585
(573) 686-4415
Mailing address
2500 LUCY LEE PARKWAY, POPLAR BLUFF, MO 63901
(573) 686-2585
(573) 686-4415
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R5641
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108033001
ARKANSAS INDIVIDUAL MEDICAID NUMBER
AR
05
—
200331510
—
MO
Enumeration date
02/03/2006
Last updated
06/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us