# VICRUMDEEP TUNG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891163499
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | A147448 | CA | — |
| 208D00000X | General Practice Physician | A147448 | CA | Yes |

## Other

- **Enumeration date:** 09/13/2015
- **Last updated:** 08/05/2025
