SUNG AE LEE


Address: 820 W. Ravina Lane, Anthem, AZ 85086
Phone: 6234339904

SUNG AE LEE (NPI# 1174953913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174953913
Entity Type Individual
Full Name SUNG AE LEE
Credential M.D.
Practice Address 820 W. Ravina Lane
Anthem
AZ 85086
Practice Telephone 6234339904
Mailing Telephone 6234339904
Mailing Fax Number 6234339904
Enumeration Date 2013-11-14
Last Update Date 2013-11-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0001X Radiology
Specialization: Radiation Oncology
33131 MO Allopathic & Osteopathic Physicians
Y 2085R0001X Radiology
Specialization: Radiation Oncology
10188 OK Allopathic & Osteopathic Physicians

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1992139075 Sung Bok Lee Acupuncturist 80-18 221street, Queens Village, NY 11427 2013-08-26
1104140532 Sung K Lee Pharmacist 750 Klondike Ave, Staten Island, NY 10314-4824 2010-03-13
1063671568 Sung W Lee Dentist 15870 Soquel Canyon Pkwy Ste I, Chino Hills, CA 91709-7941 2008-06-09
1093983660 Sung S Lee Physical Therapist 6860 Commercial Dr, Unit C, Springfield, VA 22151-4201 2008-02-15
1336345347 Sung Ae Lee Dentist 2560 Royal Lane, #222, Dallas, TX 75229 2007-06-26
1881746238 Sung Lee Dentist 3712 9th St Sw, Suite 1, Puyallup, WA 98373-3564 2007-01-17

Office Location

Street Address 820 W. RAVINA LANE
City ANTHEM
State AZ
Zip Code 85086

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760097703 Cindy Ryanto Pharmacist 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 2020-09-15
1912559857 Cathey Michelle Allen Massage Therapist 39006 N 11th Ave, Phoenix, AZ 85086 2019-07-11
1174000871 Anthem Eye Group Pllc Optometrist 4205 W Anthem Way #101, Anthem, AZ 85086 2018-07-25
1366982449 Angela Ann Childs Registered Nurse 42104 N Venture Dr Ste D118, Anthem, AZ 85086 2017-03-08
1144772054 Joe Bezerra Specialist 39818 N Bell Meadow Trl, Phoenix, AZ 85086 2016-10-26
1669821252 Arizona Procedural Center Clinic/Center 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 2016-06-06
1124499280 Shane Carr Physical Therapist 39716 N 7th St, Phoenix, AZ 85086 2015-10-15
1790174167 Kelly Christine Collins Dermatology 42211 N 41st Dr. #a109, Phoenix, AZ 85086 2015-01-22
1881034080 Bryan Michael Hays Dentist 40411 N Capra Way, Anthem, AZ 85086 2013-07-02
1922350404 A Touch of Desert Class L.L.C. Community Based Residential Treatment Facility, Mental Illness 38718 N 29th Ave, Phoenix, AZ 85086 2012-10-09
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

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1902305899 Sonoran Skin Cancer Treatment Centers, LLC Radiology 1425 Greenfield Road, Mesa, AZ 85206 2018-02-06
1811307333 Joshua R Niska Radiology Bmda @ Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 2014-05-06
1053731356 Andrew Orton Radiology 121 West Esperanza Blvd, 181, Green Valley, AZ 85614-6687 2014-04-24
1346668514 Ashley Ann Albert Radiology 14155 N 83rd Ave Ste 127, Peoria, AZ 85381-5652 2014-04-03
1366726788 Vershalee Shukla Radiology 7469 E Monte Cristo Ave, Scottsdale, AZ 85260-1618 2011-10-04
1194988204 David Thomas Vonk Radiology 6567 E Carondelet Dr Ste 100, Tucson, AZ 85710-6152 2008-07-08
1679767768 Simul D Parikh Radiology Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 2007-08-31
1457561086 Kurt Andrew Wharton Radiology 7410 N Zanjero Blvd, Palo Verde Cancer Center-west Valley, Glendale, AZ 85308 2007-05-23
1013126440 Abhilash P Nambiar Radiology 14506 W Meeker Blvd, Sun City West, AZ 85375-5282 2007-05-22
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Competitor

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City ANTHEM
Zip Code 85086

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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