Individual
DR. THAN AYE AW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
A53206
CA
171100000X
Acupuncturist
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A53206
CA
261Q00000X
Clinic/Center
A53206
CA
314000000X
Skilled Nursing Facility
A53206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A532060
—
CA
01
—
770473417
TAX ID
CA
Enumeration date
07/30/2006
Last updated
01/22/2026
Update your record
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