Provider Demographics
NPI:1023062643
Name:TUNG, ROBERT TIAN-RUN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TIAN-RUN
Last Name:TUNG
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:PO BOX 843769
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3769
Mailing Address - Country:US
Mailing Address - Phone:816-941-7727
Mailing Address - Fax:816-941-7456
Practice Address - Street 1:930 CARONDELET DR
Practice Address - Street 2:SUITE 200
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4855
Practice Address - Country:US
Practice Address - Phone:816-941-7727
Practice Address - Fax:816-941-7456
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR3G95207RC0001X
KS0422298207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0004379682OtherAETNA PPO
MOP00319339OtherMEDICARE RAILROAD
060035078OtherMEDICARE RAILROAD
MO1023062643Medicaid
0004379682OtherAETNA
0004379682OtherAETNA HMO
C52331Medicare UPIN
MOMA2231019Medicare PIN
0004379682OtherAETNA PPO