SUNG, DUK IL (MD)

Provider Demographics

• NPI: 1336113927
• Name: SUNG, DUK IL (MD)
• Entity Type: Individual
• First Name: DUK
• Middle Name: IL
• Last Name: SUNG
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 2 HOT METAL ST
• Mailing Address - Street 2: QUANTUM ONE, N431
• Mailing Address - City: PITTSBURGH
• Mailing Address - State: PA
• Mailing Address - Zip Code: 15203-2348
• Mailing Address - Country: US
• Mailing Address - Phone: 412-432-5806
• Mailing Address - Fax: 412-432-7691
• Practice Address - Street 1: 100 FAIRFIELD DR
• Practice Address - City: SENECA
• Practice Address - State: PA
• Practice Address - Zip Code: 16346-2130
• Practice Address - Country: US
• Practice Address - Phone: 814-676-7900
• Practice Address - Fax: 814-676-7887
• Is Sole Proprietor?: No
• Enumeration Date: 2006-02-13
• Last Update Date: 2011-03-15

Provider Licenses

State	License ID	Taxonomies
PA	MD038556L	2085R0203X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0203X	Allopathic & Osteopathic Physicians	Radiology	Therapeutic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
PA	1014969500009	Medicaid
PA	1014969500010	Medicaid
PA	1014969500012	Medicaid
PA	1014969500013	Medicaid
WV	3810013848	Medicaid
PA	1014969500003	Medicaid
PA	1014969500007	Medicaid
PA	1014969500005	Medicaid
PA	1014969500001	Medicaid
PA	1014969500011	Medicaid
OH	2685607	Medicaid
PA	11888157	Other	CAQH
PA	147067	Other	HIGHMARK BS
PA	184341SG7	Medicare PIN
PA	147067RJC	Medicare PIN
PA	147067QP2	Medicare PIN
PA	1014969500011	Medicaid
PA	P00456393	Medicare PIN
PA	P00448403	Medicare PIN
PA	P00424306	Medicare PIN
PA	P00373932	Medicare PIN
PA	1014969500010	Medicaid
PA	147067UA0	Medicare PIN
PA	11888157	Other	CAQH
PA	1014969500003	Medicaid
WV	3810013848	Medicaid
PA	147067UUW	Medicare PIN
PA	147067VXB	Medicare PIN
PA	1014969500001	Medicaid
OH	2685607	Medicaid
PA	P00446202	Medicare PIN