Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OH126638 | OH |
N | 111NI0900X | Internist | OH126638 | OH |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 35.126638 | OH |
NPI | 1295033116 |
---|---|
Provider Name | Thein Tun Aung |
First Address | Moraine, OH 45439-1924 |
Second Address | Dayton, OH 45414-3980 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2011 |
Last Update Date | 11/01/2021 |