Provider Demographics
NPI:1053687095
Name:TUN, NAY THI (MD,)
Entity Type:Individual
Prefix:DR
First Name:NAY
Middle Name:THI
Last Name:TUN
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 LEHIGH ST
Mailing Address - Street 2:APT. NO C1N
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3933
Mailing Address - Country:US
Mailing Address - Phone:214-578-3317
Mailing Address - Fax:
Practice Address - Street 1:800 NE 10TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5418
Practice Address - Country:US
Practice Address - Phone:405-271-4022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-23
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD22269207R00000X
CAA156329207R00000X
OH35.134379207R00000X
NY294753207R00000X
VA0101265406207R00000X
TXR1896207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine