Healthcare Provider Details

I. General information

NPI: 1962037093
Provider Name (Legal Business Name): MICHELLE SUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 E THOMPSON PEAK PKWY
SCOTTSDALE AZ
85255-4109
US

IV. Provider business mailing address

7400 E THOMPSON PEAK PKWY
SCOTTSDALE AZ
85255-4109
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-7450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberR81031
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: