Suvan, Rangsan
Suvan, Rangsan is an sole proprietor health care provider with primary practice located at 2500 Lucy Lee Parkway , Poplar Bluff MO 63901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Suvan, Rangsan can be contacted via phone (573) 686-2585.Contact Information
Primary practice address
2500 Lucy Lee Parkway
Poplar Bluff MO 63901
Phone: (573) 686-2585
Fax: (573) 686-4415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | R5641 | Missouri |
Profile Details
| NPI number | 1467424416 |
|---|---|
| LBN Legal business name | Suvan, Rangsan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jun 23rd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467424416 | NPPES |
| Missouri | MEDICAID | 200331510 | |
| Missouri | Other | 108033001 |
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