Ly, Suntharo
Ly, Suntharo is an individual health care provider with primary practice located at 333 N Dobson Rd Suite 11, Chandler AZ 85224-4412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ly, Suntharo can be contacted via phone (480) 899-2020.Contact Information
Primary practice address
333 N Dobson Rd Suite 11
Chandler AZ 85224-4412
Phone: (480) 899-2020
Fax: (480) 899-9081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 30659 | Arizona |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 30659 | Arizona |
Profile Details
| NPI number | 1134208168 |
|---|---|
| LBN Legal business name | Ly, Suntharo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jan 30th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134208168 | NPPES |
| Arizona | Other | 853508 | AHCCCS |
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