Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0435669104 | NY |
Y | 2080P0210X | Pediatric Nephrologist | R3358 | TX |
NPI | 1023456332 |
---|---|
Provider Name | Dr. Ei Ei Khin |
First Address | El Paso, TX 79905-2707 |
Second Address | El Paso, TX 79905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2013 |
Last Update Date | 29/05/2018 |