Provider Demographics
NPI:1215987912
Name:AUNG-DIN, RONALD (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:AUNG-DIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 CATTLEMEN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6054
Mailing Address - Country:US
Mailing Address - Phone:941-342-9477
Mailing Address - Fax:941-342-9488
Practice Address - Street 1:3501 CATTLEMEN RD
Practice Address - Street 2:SUITE A
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6054
Practice Address - Country:US
Practice Address - Phone:941-342-9477
Practice Address - Fax:941-342-9488
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00352922084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL58497OtherBCBS
FL4545617001OtherCIGNA
FL625898OtherAETNA
FL045303000Medicaid
FL4545617001OtherCIGNA
FL58497OtherBCBS
FL58497ZMedicare PIN
FL045303000Medicaid