Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Supawat Ratanapo, MD

Individual provider Cardiovascular Disease Physician · NPI 1255627923

Dr. Supawat Ratanapo, MD is an Interventional Cardiology in Lynchburg, Virginia. Qualified in 2007, 19 years ago. Practices with Centra Medical Group LLC, a 717-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
19
Licensed in
VA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2410 Atherholt Rd
Lynchburg, VA 24501-2148
Phone: (434) 200-5252
Fax: (434) 200-2851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 0101281156 (VA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 0101281156 (VA)

Record details

NPI number1255627923
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2011
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Centra Medical Group Llc — 717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

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