Individual
KYAW N TUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2007
(570) 271-6301
(570) 271-5976
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
OS17568
PA
2085R0202X
Diagnostic Radiology Physician
OT013585
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TU419552
MEDICARE
PA
Enumeration date
06/07/2010
Last updated
03/08/2016
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