Individual
SHILIANG SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8218
(319) 356-2220
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8218
(319) 356-2220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
SP70
IA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
SP70
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106625
—
IA
01
—
14450
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
12/18/2007
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