| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHAWN YOUNGTAE SUNU | 1013546712 | 2020-04-04 |
Shawn Youngtae Sunu is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013546712. Registration indicates Shawn Youngtae Sunu is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Shawn Youngtae Sunu DO |
| Practice Office Address | 1965 W 24TH ST STE A YUMA, AZ US |
| Practice Office Telephone | 9283445774 |
| Mailing Address | GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE, PA 178220001 US |
| Business Telephone | 5702716211 |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 010325
AZ |