Individual
DR. KHIN THIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1408 CAMPBELL DR, IRONTON, OH 45638-2301
(740) 534-9195
(740) 534-9327
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-4858
(740) 532-4859
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34419
KY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
35094864
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112216
—
OH
05
—
64434194
—
KY
05
—
6700057000
—
WV
Enumeration date
07/05/2005
Last updated
02/12/2019
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