Mingda David Su, MD
Surgery Physician · Urbana, IL
Practice location
611 W Park StUrbana, IL 61801-2529
- Phone
- (217) 383-3311
NPI record
- NPI
- 1609436955
- Entity type
- Individual (Type 1)
- Enumeration date
- June 18, 2019
- Last updated
- August 3, 2020
- Certified
- August 3, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Physician Primary | 208600000X |
1609436955 | IL |
About Dr. Su
Mingda David Su, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 611 W Park St, Urbana, IL 61801-2529. The NPI number 1609436955 was assigned on June 18, 2019 and the record was last updated on August 3, 2020.
Dr. Su lists a license in the registry: #1609436955 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mingda David Su, MD?
The NPI number is 1609436955.
What is the phone number of Dr. Su?
The phone number listed for the practice location is (217) 383-3311.
Where is Dr. Su located?
611 W Park St, Urbana, IL 61801-2529.
What is the taxonomy code for Dr. Su?
The primary taxonomy code is 208600000X – Surgery Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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