Individual
DR. SUMAN TANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 270-2010
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD-42598
IA
207Q00000X
Family Medicine Physician
Primary
42598
IA
Other
Enumeration date
04/06/2012
Last updated
07/23/2019
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