Individual
SUNG W LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7610 CARROLL AVE, SUITE 280, TAKOMA PARK, MD 20912
(301) 891-6574
(301) 891-6222
Mailing address
7610 CARROLL AVE, SUITE 280, TAKOMA PARK, MD 20912
(301) 891-6574
(301) 891-6222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D0037960
MD
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
D37960
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015
BCBS OF DC INDIVIDUAL #
DC
01
—
4787
BCBS OF DC GROUP NUMBER
DC
01
—
53533702
BCBS OF MD INDIVIDUAL #
MD
05
—
883460101
—
MD
01
—
H830
BCBS OF MD GROUP NUMBER
MD
Enumeration date
04/03/2006
Last updated
10/04/2011
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