Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A38604 | CA |
NPI | 1003910696 |
---|---|
Provider Name | Thein Kyaw |
First Address | Bell Gardens, CA 90201 |
Second Address | Bell Gardens, CA 90201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A386040 | MEDICAL (01) | CA |
A85152 | (02) |