Basic Information
Provider Information
NPI: 1215352158
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUNG
FirstName: SANDAR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 374 - STOCKHOLM ST.
Address2:  
City: BROOKLYN
State: NY
PostalCode: 11237
CountryCode: US
TelephoneNumber: 7189637272
FaxNumber:  
Practice Location
Address1: 374 - STOCKHOLM ST.
Address2:  
City: BROOKLYN
State: NY
PostalCode: 11237
CountryCode: US
TelephoneNumber: 7189637272
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/02/2014
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X285138NYN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X285138NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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