Healthcare Provider Details
I. General information
NPI: 1598259913
Provider Name (Legal Business Name): AYE M. AUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/19/2018
Last Update Date: 06/20/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2345 E PRATER WAY
SPARKS NV
89434-9600
US
IV. Provider business mailing address
1625 N CAMPBELL AVE
TUCSON AZ
85719-4330
US
V. Phone/Fax
- Phone: 775-352-5301
- Fax:
- Phone: 520-626-5797
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 62700 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 27583 |
| License Number State | NV |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 62700 |
| License Number State | AZ |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 27583 |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: