Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | D45157 | MD |
NPI | 1033117908 |
---|---|
Provider Name | Dr. Tin O Maung |
First Address | Baltimore, MD 21227-2542 |
Second Address | Columbia, MD 21044-3013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 07/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
090800200 | (05) | MD |
G43303 | (02) | MD |