Individual
RAPHAEL N NGENGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E OAK AVE, JONESBORO, AR 72401-4163
(870) 935-6729
(870) 268-4478
Mailing address
201 E OAK AVE, JONESBORO, AR 72401-4163
(870) 935-6729
(870) 935-6729
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
14665
SD
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
E9433
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699865857
—
AR
01
—
E9433
STATE MEDICAL LICENSE
AR
Enumeration date
10/16/2006
Last updated
08/21/2023
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