Individual
RUPAN SANYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
L.3423SP
AL
2085R0202X
Diagnostic Radiology Physician
Primary
ME136973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051117591
BCBS
AL
01
—
051117593
BCBS
AL
01
—
051117595
BCBS
AL
01
—
051117596
BCBS
AL
01
—
051117597
BCBS
AL
01
—
051117598
BCBS
AL
01
—
051117599
BCBS
AL
05
—
129598
—
AL
05
—
129621
—
AL
05
—
129622
—
AL
Enumeration date
05/04/2008
Last updated
09/01/2020
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