Shukung PLLC

Key facts

NPI

1649968645

Entity type

Organization (NPI type 2)

Primary specialty

Internal Medicine Physician 207R00000X

Legal business name

SHUKUNG PLLC

Practice address

107 N Greenfield Rd Ste 1
Mesa, AZ 85205-7802

Phone

(480) 741-8041

Fax

(480) 741-8045

NPI assigned

Apr 27, 2023

Organization subpart

No

Authorized official

Name

Dr. Shu Ting Kung, MD NPI 1053706705

Title

Physician

Phone

(480) 741-8041

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shu Ting Kung, M.D. Internal Medicine Physician · Mesa, AZ · NPI 1053706705
  Medicare reassignment NPD Authorized official AZ · INTERNAL MEDICINE

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 26, 2024.

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1649968645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N GREENFIELD RD STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057802",
            "telephone_number": "480-741-8041",
            "fax_number": "480-741-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N GREENFIELD RD STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057802",
            "telephone_number": "480-741-8041",
            "fax_number": "480-741-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUKUNG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "KUNG",
        "authorized_official_first_name": "SHU TING",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-741-8041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

• Mekenzie Joirdan Shrestha, OTD, OTR/L
• Robert Shuch, DO
• Stephanie Shudarek
• Dana Louise Shuey, CNP
• Sarah Shuker, PA-C
• John David Shull Jr., PA
• Lawrence Shults, D.D.S. MSD
• Bradley Rex Shumway, D.O.
• David Dean William Shumway, M.ED.
• Joel Andrew Shumway, DDS

All providers in Mesa, AZ · Internal Medicine Physician in Arizona