Individual
AUNG KO KO THANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 BROADWAY ST, BUFFALO, NY 14212-1460
(716) 529-3020
(716) 529-3040
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
290722
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05228217
—
NY
Enumeration date
04/10/2013
Last updated
10/24/2018
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