Individual
KHIN MA MA THEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
13739 45TH AVE, CBWCHC, FLUSHING, NY 11355-4094
(929) 362-3006
(929) 362-3026
Mailing address
13626 37TH AVE, FLUSHING, NY 11354-6533
(718) 886-1212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
280836
NY
Other
Enumeration date
06/15/2012
Last updated
10/21/2015
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