1427133933 NPI number — DR. KYAW TUN MD

Table of content: DR. KYAW TUN MD (NPI 1427133933)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427133933 NPI number — DR. KYAW TUN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TUN
Provider First Name:
KYAW
Provider Middle Name:
Provider Name Prefix Text:
DR.
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:
1427133933
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
215 E BROADWAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-228-3130
Provider Business Mailing Address Fax Number:
212-228-3368

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
63 CATHERINE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10038
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-619-2653
Provider Business Practice Location Address Fax Number:
212-393-9011
Provider Enumeration Date:
10/25/2006

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: 2080H0002X , with the licence number:  145113 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000107550201 . This is a "HEALTHPLUS" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 26N9752 . This is a "NEIGHBROHOOD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 26P3032 . This is a "NEWYORK PRESBYTERIAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 231437 . This is a "WELLCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 305402 . This is a "WELLCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0055173 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 10201807 . This is a "AMERIGROUP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 14511301 . This is a "NEIGHBROHOOD" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 145113A20 . This is a "HEALTHFRIST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00593577 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0473230 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 132492P . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 10201806 . This is a "AMERIGROUP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000107550101 . This is a "HEALTH PLUS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 11648P . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 145113B20 . This is a "HEALTHFIRST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 26P3031 . This is a "NEWYORK PRESBYTERIAN" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com