Provider Demographics
NPI:1770880528
Name:PETER T T SUN MD INC
Entity type:Organization
Organization Name:PETER T T SUN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:T T
Authorized Official - Last Name:SUN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:650-254-1200
Mailing Address - Street 1:19951 DURHAM CT
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5539
Mailing Address - Country:US
Mailing Address - Phone:408-369-0611
Mailing Address - Fax:408-369-8600
Practice Address - Street 1:2500 HOSPITAL DR
Practice Address - Street 2:SUITE 9
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4106
Practice Address - Country:US
Practice Address - Phone:650-254-1200
Practice Address - Fax:650-254-1226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty