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Contact Information

SUN ELECTRONIC BRACHYTHERAPY INC
6424 E BROADWAY RD
SUITE 104 & 105
MESA, AZ85206-1750
 Phone: 602-802-8700
 Fax: 602-802-8799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Nuclear Radiology

2085N0904X
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for SUN ELECTRONIC BRACHYTHERAPY INC

NPI # 1710322946
LBN Legal business name SUN ELECTRONIC BRACHYTHERAPY INC
Authorized official MANNTEJ SRA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2013
Last updated 09/09/2015 - About 11 years ago
Identifiers
AZ License # 28033
AZ License # 30940
AZ License # 35361
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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