Individual
DR. SUPHAGAPHAN RATANAMANEECHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-8380
(603) 640-1228
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-8380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD20821
ME
208M00000X
Hospitalist Physician
Primary
MD20821
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760727382
—
ME
Enumeration date
12/07/2012
Last updated
12/15/2025
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