Provider Demographics
NPI:1649513805
Name:AUNG, SU NANDAR (MD)
Entity type:Individual
Prefix:
First Name:SU
Middle Name:NANDAR
Last Name:AUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:513 PARNASSUS AVE
Mailing Address - Street 2:# 380
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2205
Mailing Address - Country:US
Mailing Address - Phone:401-444-6118
Mailing Address - Fax:401-444-8804
Practice Address - Street 1:513 PARNASSUS AVE
Practice Address - Street 2:# 380
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2205
Practice Address - Country:US
Practice Address - Phone:401-444-6118
Practice Address - Fax:401-444-8804
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RICLP03370207R00000X, 208000000X
RIMD15835207RI0200X
CAA169620207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics