Individual
MYO KYAW ZAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 557-6788
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301104681
MI
207R00000X
Internal Medicine Physician
A149079
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A149079
CA
Other
Enumeration date
07/23/2014
Last updated
09/20/2023
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