Individual
MAUNG HTAIN KYAW LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 RONNIES PLZ, SAINT LOUIS, MO 63126-3552
(314) 748-5800
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2020012707
MO
207R00000X
Internal Medicine Physician
MD2017-0200
NM
390200000X
Student in an Organized Health Care Education/Training Program
254399610
NY
Other
Enumeration date
01/09/2015
Last updated
10/23/2020
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