Individual
THAN H KYAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
500 N GARFIELD AVE STE 204, MONTEREY PARK, CA 91754-1242
(626) 280-4393
(626) 280-5379
Mailing address
500 N GARFIELD AVE STE 204, MONTEREY PARK, CA 91754-1242
(626) 280-4393
(626) 280-5379
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD206036
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A148976
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/20/2012
Last updated
02/25/2019
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