Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 2008-01322 | NC |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 35.092662 | OH |
N | 207QG0300X | Family Doctor - Geriatric Medicine | N5485 | TX |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 33315 | SC |
NPI | 1154527679 |
---|---|
Provider Name | Dr. Ohmar Win |
First Address | Spartanburg, SC 29302-1972 |
Second Address | Lubbock, TX 79430-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2007 |
Last Update Date | 25/02/2013 |