Individual
DR. MYO THANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9114 PHILADELPHIA RD, SUITE 208, BALTIMORE, MD 21237-4317
(410) 687-5300
(410) 682-4418
Mailing address
1000 WESTWICKE LN, SUITE 208, LUTHERVILLE, MD 21093-3706
(410) 687-5300
(410) 682-4418
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0018487
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102315
AETNA
MD
05
—
530001100
—
MD
01
—
830005807
MEDICARE RAILROAD
—
Enumeration date
09/12/2005
Last updated
02/01/2016
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