Provider Demographics
NPI:1518995091
Name:LEE, TUNG-PI (MD)
Entity Type:Individual
Prefix:DR
First Name:TUNG-PI
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 BUCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-3613
Mailing Address - Country:US
Mailing Address - Phone:301-439-1609
Mailing Address - Fax:301-431-6475
Practice Address - Street 1:700 BUCKINGHAM DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-3613
Practice Address - Country:US
Practice Address - Phone:301-439-1609
Practice Address - Fax:301-431-6475
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026707174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC 01327Medicare UPIN
MDLE 70199Medicare ID - Type Unspecified