Individual
CARRIE L SUN
Active
Individual
CARRIE L SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0062604
MD
207R00000X
Internal Medicine Physician
Primary
MD00046290
WA
207R00000X
Internal Medicine Physician
MD444615
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000544173
ANTHEM PIN
IN
05
—
103280724
—
PA
05
—
200529610
—
IN
01
—
200859330C
MEDICAID GROUP
IN
01
—
250470
MEDICARE GROUP
IN
Enumeration date
07/12/2006
Last updated
11/12/2020
Update your record
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