Sun Electronic Brachytherapy Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

35361 Issued in AZ

Legal business name

SUN ELECTRONIC BRACHYTHERAPY INC

Doing business as

Arizona Oncology Network

Practice address

6424 E Broadway Rd
Suite 104 & 105
Mesa, AZ 85206-1750

Phone

(602) 802-8700

Fax

(602) 802-8799

NPI assigned

May 1, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Manntej Singh Sra, MD

Title

Owner

Phone

(602) 705-1353

Specialties & licenses 4

Addresses

Other names 1

• Arizona Oncology Network Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1710322946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 W EMILE ZOLA AVE",
            "address_2": "SUITE 5115",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814811",
            "telephone_number": "602-802-8700",
            "fax_number": "602-802-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E BROADWAY RD",
            "address_2": "SUITE 104 & 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061750",
            "telephone_number": "602-802-8700",
            "fax_number": "602-802-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN ELECTRONIC BRACHYTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "SRA",
        "authorized_official_first_name": "MANNTEJ",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-705-1353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "35361",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "AZ",
            "license": "28033",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "30940",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "28033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Oncology Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hematology & Oncology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.