Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | C1-0011076 | DE |
N | 207Q00000X | Family Doctor | ME132790 | FL |
N | 207RG0300X | Geriatric Medicine | ME132790 | FL |
NPI | 1114210226 |
---|---|
Provider Name | Khine Swe Zin Min |
First Address | Wilmington, DE 19807-3218 |
Second Address | Wilmington, DE 19805-3155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2011 |
Last Update Date | 06/10/2020 |