Provider Demographics
NPI:1952530537
Name:SUN, STEVE MING-CHENG (MD)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:MING-CHENG
Last Name:SUN
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 1:352 LA STRADA DR
Mailing Address - Street 2:#12
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-1001
Mailing Address - Country:US
Mailing Address - Phone:408-365-1602
Mailing Address - Fax:
Practice Address - Street 1:352 LA STRADA DR
Practice Address - Street 2:#12
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-1001
Practice Address - Country:US
Practice Address - Phone:408-365-1602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-05
Last Update Date:2009-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA108825207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine