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Individual

DR. KHIN MYAT THU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.,

Contact information

Practice address
3901 LONE TREE WAY, ANTIOCH, CA 94509-6200
(925) 756-1192
(925) 756-1869
Mailing address
3687 MT DIABLO BLVD STE 200, LAFAYETTE, CA 94549-3746
(916) 854-6975

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A101140
CA
208M00000X
Hospitalist Physician
Primary
A101140
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A101140
STATE LICENSE
CA
Enumeration date
01/09/2008
Last updated
07/21/2022
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