Provider Demographics
NPI:1821172875
Name:SUN, ARUN T (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ARUN
Middle Name:T
Last Name:SUN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 ELECTRIC RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-4569
Mailing Address - Country:US
Mailing Address - Phone:540-777-0090
Mailing Address - Fax:540-206-3826
Practice Address - Street 1:5372 FALLOWATER LN
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0903
Practice Address - Country:US
Practice Address - Phone:540-725-7364
Practice Address - Fax:540-725-7368
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110001421363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant