| NPI | 1174953913 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2013-11-14 |
| Last Updated | 2013-11-14 |
| Mailing Address | 820 W. Ravina Lane Anthem, AZ 85086 United States Phone: (623) 433-9904 | Fax: (623) 433-9904 📍 View Map |
| Primary Practice Address | 820 W. Ravina Lane Anthem, AZ 85086 United States Phone: (623) 433-9904 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2085R0001X – | OK | 10188 |
| No | 2085R0001X – | MO | 33131 |
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About NPI 1174953913
Sung Ae Lee M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1174953913. The provider is located in Anthem, AZ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-11-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174953913?
NPI 1174953913 belongs to Sung Ae Lee M.D. in Anthem, AZ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174953913 active?
The current status of NPI 1174953913 in the NPPES registry is Active. The record was last updated on 2013-11-14.
What specialty is NPI 1174953913?
The taxonomy for NPI 1174953913 can be viewed in the Taxonomy section above. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174953913?
You can verify NPI 1174953913 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174953913?
The primary practice address on file for NPI 1174953913 is 820 W. Ravina Lane, Anthem, AZ 85086. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174953913 issued?
NPI 1174953913 was first issued (enumerated) on 2013-11-14. The NPPES record was last updated on 2013-11-14.
Practice Location Map
Sung Ae Lee is located at 820 W. Ravina Lane, Anthem, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sung Ae Lee. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174953913. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| 2085R0001X | 10188 | OK |
| 2085R0001X | 33131 | MO |