# SUN ELECTRONIC BRACHYTHERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arizona Oncology Network
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710322946
- **Authorized official:** DR. MANNTEJ SINGH SRA MD (OWNER)
- **Authorized official phone:** (602) 705-1353

## Contact information

- **Practice address:** 6424 E BROADWAY RD, SUITE 104 & 105, MESA, AZ 85206-1750
- **Practice address phone:** (602) 802-8700
- **Practice address fax:** (602) 802-8799
- **Mailing address:** 8380 W EMILE ZOLA AVE, SUITE 5115, PEORIA, AZ 85381-4811
- **Mailing address phone:** (602) 802-8700
- **Mailing address fax:** (602) 802-8799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 35361 | AZ | Yes |
| 2085N0904X | Nuclear Radiology Physician | 28033 | AZ | — |
| 2085R0001X | Radiation Oncology Physician | 30940 | AZ | — |
| 2085R0202X | Diagnostic Radiology Physician | 28033 | AZ | — |

## Other

- **Enumeration date:** 05/01/2013
- **Last updated:** 09/09/2015
