Individual
DAZHONG SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6115 PEACHTREE DUNWOODY RD STE 300, SANDY SPRINGS, GA 30328-5695
(678) 320-3600
Mailing address
930 CARONDELET DR, SUITE 201, KANSAS CITY, MO 64114-4855
(816) 943-7600
(816) 941-7456
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2005024758
MO
207RC0000X
Cardiovascular Disease Physician
Primary
91168
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205901030
—
MO
01
—
P00853581
MEDICARE RAILROAD
MO
01
—
P01100630
RAILROAD MEDICARE
MO
Enumeration date
11/20/2006
Last updated
07/01/2022
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