Individual
QISI SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(405) 509-4025
Mailing address
125 LYNCH CV, EADS, TN 38028-3653
(405) 509-4025
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A181318
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2021
Last updated
09/13/2022
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