Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101253946 | VA |
N | 111NI0900X | Internist | 0101253946 | VA |
N | 207R00000X | Internist | 36116419 | IL |
N | 111NI0900X | Internist | 36116419 | IL |
Y | 207RN0300X | Nephrologist | 0101253946 | VA |
N | 207RN0300X | Nephrologist | 36116419 | IL |
NPI | 1043231988 |
---|---|
Provider Name | Maung M. Kyi |
First Address | Abingdon, VA 24211-3814 |
Second Address | Abingdon, VA 24211-7659 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2006 |
Last Update Date | 01/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043231988 | (05) | VA |
I61769 | (02) | OK |
VV9943A | MEDICARE (01) | VA |