Individual
DR. TUN TIN HTAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 N BROAD STREET, PHILADELPHIA, PA 19102-1102
(215) 762-4315
(215) 762-4345
Mailing address
245 N 15TH ST, MS 989, PHILADELPHIA, PA 19102-1101
(215) 762-4315
(215) 762-4345
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD073724L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019674600001
—
PA
01
—
MD073724L
LICENSE
PA
Enumeration date
02/25/2008
Last updated
03/07/2023
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