Individual
KYAW THU THEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 618-0401
Mailing address
1434 WILLIAMSBRIDGE RD, BRONX, NY 10461-2507
(718) 618-0401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
312703
NY
208M00000X
Hospitalist Physician
Primary
MD475258
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT216573
PA
Other
Enumeration date
03/23/2018
Last updated
05/08/2023
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