Individual
DR. YUTTANA CHAWENGSUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(855) 524-4001
(712) 325-2499
Mailing address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(855) 524-4001
(712) 325-2499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-40350
KS
207R00000X
Internal Medicine Physician
125063902
IL
207R00000X
Internal Medicine Physician
MD2022-1256
NM
207R00000X
Internal Medicine Physician
MD61203457
WA
208M00000X
Hospitalist Physician
CP1338
NE
208M00000X
Hospitalist Physician
Primary
MD-43157
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125063902
UPIN
IL
05
—
2186267
—
WA
05
—
93133201
—
NM
Enumeration date
06/22/2013
Last updated
02/14/2025
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