Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME73626 | FL |
Y | 111NI0900X | Internist | ME73626 | FL |
N | 207RG0300X | Geriatric Medicine | ME73626 | FL |
NPI | 1124032776 |
---|---|
Provider Name | Khin M Zaw |
First Address | Miami, FL 33136-1005 |
Second Address | Miami, FL 33136-1005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 26/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2742853-00 | (05) | FL |