Healthcare Provider Details

I. General information

NPI: 1407019649
Provider Name (Legal Business Name): MAY THET NWE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 01/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10418 VALLEY BLVD STE B
EL MONTE CA
91731-3600
US

IV. Provider business mailing address

PO BOX 5414
EL MONTE CA
91734-1414
US

V. Phone/Fax

Practice location:
  • Phone: 323-725-8751
  • Fax:
Mailing address:
  • Phone: 626-774-2988
  • Fax: 626-774-2987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA116705
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: