Provider Demographics
NPI:1548604770
Name:SUN, JONATHAN (DO)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:SUN
Suffix:
Gender:M
Credentials:DO
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Other - Last Name:
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Mailing Address - Street 1:3601 5TH AVE
Mailing Address - Street 2:SUITE 3A, FALK MEDICAL BUILDING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3403
Mailing Address - Country:US
Mailing Address - Phone:412-648-6273
Mailing Address - Fax:412-648-6399
Practice Address - Street 1:3601 5TH AVE
Practice Address - Street 2:SUITE 3A, FALK MEDICAL BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3403
Practice Address - Country:US
Practice Address - Phone:412-648-6273
Practice Address - Fax:412-648-6399
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
OH012098207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program