Individual
KENNETH KYAW-WIN SHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
136-20 38TH AVENUE, STE. CF-B, FLUSHING, NY 11354
(718) 358-8889
(718) 358-8890
Mailing address
136-20 38TH AVENUE, STE. CF-B, FLUSHING, NY 11354
(718) 358-8889
(718) 358-8890
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
197029
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01566729
—
NY
01
—
04870H
GHI MEDICARE
NY
01
—
22R881
EMPIRE BC/BS
NY
Enumeration date
07/20/2005
Last updated
08/10/2011
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