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Individual
SAW WYNN AYE
Active
Individual
SAW WYNN AYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A105329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A1053290
BLUE SHIELD OF CALIFORNIA
CA
05
—
1972751915
—
CA
01
—
P00680599
RAILROAD MEDICARE
CA
Enumeration date
09/03/2008
Last updated
02/07/2012
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