Individual
MYA S THEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST RM S9D10, MARLENE AND STEWART GREENEBAUM CANCER CENTER, BALTIMORE, MD 21201-1544
(410) 328-7157
Mailing address
PO BOX 630776, BALTIMORE, MD 21264-2602
(410) 328-7157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0058371
MD
207RH0003X
Hematology & Oncology Physician
Primary
D58371
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
786804900
—
MD
01
—
S053-0082
CAREFIRST BC/BS
MD
Enumeration date
03/17/2006
Last updated
02/13/2015
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