DR. SUN KING WAN (NPI# 1043290281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043290281 |
| Entity Type | Individual |
| Full Name | DR. SUN KING WAN |
| Credential | MD |
| Practice Address |
257 E Center St Manchester CT 06040-5214 |
| Mailing Address |
90 Ellington Ave Ellington CT 06029-4321 |
| Practice Telephone | 8606435101 |
| Practice Fax Number | 8605339747 |
| Mailing Telephone | 8608722861 |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2013-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
029859 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
257 E CENTER ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962482109 | Saqib Naseer | Internal Medicine | 257 E Center St, Manchester, CT 06040-5214 | 2006-01-21 |
| 1437278116 | Stephen T. Sinatra | Specialist | 257 E Center St, Manchester, CT 06040-5214 | 2007-03-27 |
| 1104960111 | New England Cardiology Associates, PC | Internal Medicine | 257 E Center St, Manchester, CT 06040-5214 | 2007-02-16 |
| 1366419632 | Nicholas J. Palermo | Family Medicine | 257 E Center St, The Optimum Health Building, Manchester, CT 06040-5214 | 2006-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407012040 | Keerthana Kalengada Karumbaiah | Internal Medicine | 65 Glenndale Rd, Suite 2, Manchester, KY 40962-6212 | 2008-08-04 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| 1023077609 | Hazar Dahhan | Internal Medicine | 201 Main St, Manchester, CT 06042-3540 | 2006-03-21 |
| 1114995321 | Joseph Hanna | Internal Medicine | 18 Haynes St, Manchester, CT 06040-4111 | 2006-03-14 |
| 1962482109 | Saqib Naseer | Internal Medicine | 257 E Center St, Manchester, CT 06040-5214 | 2006-01-21 |
| 1427043777 | Eastern Connecticut Cardiology Associates LLC | Internal Medicine | 43 W Middle Tpke, Manchester, CT 06040-4057 | 2005-09-13 |
| 1811993280 | Ashwini Anand | Internal Medicine | 56 Marie Langdon Dr, Manchester, KY 40962-6329 | 2005-06-22 |
| 1275970394 | Carolyn Davidson | Internal Medicine | 1 Elliot Way Ste 100, Manchester, NH 03103-3502 | 2013-05-30 |
| 1689937278 | Besiana Liti | Internal Medicine | 100 Mcgregor St, Manchester, NH 03102 | 2012-06-19 |
| 1174827638 | Elliot Professional Services | Internal Medicine | 1 Elliot Way, Suite 100, Manchester, NH 03103-3502 | 2010-12-27 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on DR. SUN KING WAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.