Provider Demographics
NPI:1316913098
Name:SUN, YUN (MD)
Entity type:Individual
Prefix:DR
First Name:YUN
Middle Name:
Last Name:SUN
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 1:645 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27260-5017
Mailing Address - Country:US
Mailing Address - Phone:336-883-0029
Mailing Address - Fax:336-883-0867
Practice Address - Street 1:3402 BATTLEGROUND AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2404
Practice Address - Country:US
Practice Address - Phone:336-883-0029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500244207R00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5829182001OtherCIGNA HEALTHCARE NUMBER
NC5935014OtherAETNA - NON HMO NUMBER
NC81004OtherBCBS NUMBER
NC41363OtherWELLPATH/COVENTRY NUMBER
NC110207881OtherRAILROAD MEDICARE NUMBER
NC291934OtherMAMSI NUMBER
NC8981004Medicaid
NC0408169OtherUNITED HEALTHCARE NUMBER
NC2723691OtherAETNA - HMO NUMBER
NC9886OtherPARTNERS MEDICARE CHOICE
NC92347OtherMEDCOST NUMBER
NC92347OtherMEDCOST NUMBER
NC8981004Medicaid