Lee, Sungchun

Lee, Sungchun is an individual health care provider with primary practice located at 21410 N 19Th Ave Suite 131, Phoenix AZ 85027-2738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lee, Sungchun can be contacted via phone (623) 780-1371.

Contact Information

Primary practice address
21410 N 19Th Ave Suite 131 Phoenix AZ 85027-2738
Phone: (623) 780-1371
Fax: (623) 780-1393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 32799 Arizona

Profile Details

NPI number 1033112818
LBN Legal business name Lee, Sungchun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jun 26th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033112818 NPPES
Arizona MEDICAID 858889

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