Provider Demographics
NPI:1538924899
Name:SUNG, BAWI IANG
Entity type:Individual
Prefix:
First Name:BAWI
Middle Name:IANG
Last Name:SUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MEADOW VUE COURT NORTH DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-2458
Mailing Address - Country:US
Mailing Address - Phone:317-438-7816
Mailing Address - Fax:
Practice Address - Street 1:20 MEADOW VUE COURT NORTH DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-2458
Practice Address - Country:US
Practice Address - Phone:317-438-7816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty