Individual
DR. SONU SURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MERCY WAY, DEPT OF RADIOLOGY, JOPLIN, MO 64804-4524
(417) 625-2461
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 625-2461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-32768
KS
2085R0202X
Diagnostic Radiology Physician
Primary
2007030497
MO
2085R0202X
Diagnostic Radiology Physician
28149
OK
2085R0202X
Diagnostic Radiology Physician
E-8852
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166619001
—
AR
05
—
200123580A
—
OK
05
—
200518320D
—
KS
05
—
205479504
—
MO
01
—
P00800426
RAIL ROAD MEDICARE
MO
Enumeration date
06/02/2006
Last updated
06/21/2023
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