Individual
MR. KYAW DOH HTOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3350 E PAULDING RD, FORT WAYNE, IN 46816-4513
(260) 458-2641
Mailing address
3350 E PAULDING RD, FORT WAYNE, IN 46816-4513
(260) 458-2641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28245747A
IN
363L00000X
Nurse Practitioner
Primary
71014417A
IN
Other
Enumeration date
08/25/2022
Last updated
02/01/2024
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