Provider Demographics
NPI:1366626806
Name:FUNG, ADELE D (MD)
Entity Type:Individual
Prefix:MS
First Name:ADELE
Middle Name:D
Last Name:FUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:401 WEST 2ND ST.
Mailing Address - Street 2:NELSON/#235D/MS 353
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-0353
Mailing Address - Country:US
Mailing Address - Phone:775-784-1223
Mailing Address - Fax:775-327-2006
Practice Address - Street 1:MS 350
Practice Address - Street 2:UNR PATHOLOGY AND LABORATORY DEPT.
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557
Practice Address - Country:US
Practice Address - Phone:775-784-4068
Practice Address - Fax:775-784-1636
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2013-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA002653207ZP0102X
NV14917207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology