Individual
SUN MIN
Active
Individual
SUN MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01051876A
IN
207L00000X
Anesthesiology Physician
Primary
01051876A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000081316
ANTHEM BCBS
IN
05
—
036094917
—
IL
05
—
200244830A
—
IN
Enumeration date
05/08/2006
Last updated
01/11/2008
Update your record
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