1164586293 NPI number — MR. SEIN LWIN MD

Table of content: MR. SEIN LWIN MD (NPI 1164586293)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164586293 NPI number — MR. SEIN LWIN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LWIN
Provider First Name:
SEIN
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164586293
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 SE 17 STREET
Provider Second Line Business Mailing Address:
SUITE 2R
Provider Business Mailing Address City Name:
FORT LAUDERDALE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33316
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-525-3000
Provider Business Mailing Address Fax Number:
954-525-3033

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 SE 17 STREET
Provider Second Line Business Practice Location Address:
SUITE 2R
Provider Business Practice Location Address City Name:
FORT LAUDERDALE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-525-3000
Provider Business Practice Location Address Fax Number:
954-525-3000
Provider Enumeration Date:
12/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207XX0801X , with the licence number:  ME0032464 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 93491 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com