Individual
DR. NISHA TUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 WILLOW CREEK RD STE 2200, PRESCOTT, AZ 86301-1614
(928) 445-6025
(928) 778-3026
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
30696
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
30696
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060071200
RAILROAD MEDICARE
AZ
05
—
715344
—
AZ
01
—
86080015085259A289
TRIWEST
AZ
Enumeration date
12/05/2005
Last updated
10/10/2025
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