Individual
KYAWT THANDAR AUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5223 VAN LOON ST, ELMHURST, NY 11373-4258
(718) 424-6741
Mailing address
19614 58TH AVE, 1ST FLOOR, FRESH MEADOWS, NY 11365-2306
(646) 943-1588
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
241558
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03032684
—
NY
Enumeration date
07/15/2008
Last updated
08/06/2015
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