Healthcare Provider Details

I. General information

NPI: 1689376170
Provider Name (Legal Business Name): SAMMY AUNG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 W MOANA LN STE 300
RENO NV
89509-4980
US

IV. Provider business mailing address

745 W MOANA LN STE 300
RENO NV
89509-4980
US

V. Phone/Fax

Practice location:
  • Phone: 775-327-5174
  • Fax:
Mailing address:
  • Phone: 775-327-5174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number346646
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: