Individual
DR. CHARLES C SUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD21609
OR
207W00000X
Ophthalmology Physician
Primary
MD36139
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104926
—
WA
01
—
123380
LABOR AND INDUSTERIES
WA
05
—
130346
—
OR
01
—
MD21609
MEDICAL LICENSE
OR
01
—
MD36139
MEDICAL LICENSE
WA
Enumeration date
07/14/2005
Last updated
11/08/2017
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