Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDY K SULAVER II, M.D.
ActiveDR. RANDY K SULAVER II, M.D. is a Urology healthcare provider located in DECATUR, Illinois. NPI 1982968756 is currently active in the NPPES registry. Verify at CMS.
Urology · DECATUR, IL
Registration Details
- NPI Number
- 1982968756
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2012 (14.175286160634 yrs)
- Last Updated
- Apr 20, 2023
- Licenses
-
125061943 (IL)036143964 (IL)
Practice Information
- Address
-
302 W HAY ST STE 200DECATUR, IL, 625264171Browse IL providers · Browse ZIP 62526
- Phone
- 2175458000
- Fax
- 2178721958
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
Other Urology Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| MR. LEE G ENDSLEY | MD | 1063411304 |
| DR. JEFFREY R. CANHAM | M.D. | 1770582983 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.