Healthcare Provider Details

I. General information

NPI: 1447898002
Provider Name (Legal Business Name): MYINT ZAW MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2019
Last Update Date: 07/18/2024
Certification Date: 12/13/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6246 N FIRST ST. STE 101
FRESNO CA
93710-5480
US

IV. Provider business mailing address

11289 N VIA PALERMO WAY
FRESNO CA
93730-8820
US

V. Phone/Fax

Practice location:
  • Phone: 559-436-0144
  • Fax: 559-436-4395
Mailing address:
  • Phone: 559-436-0144
  • Fax: 559-436-4395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MYINT ZAW
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 559-436-0144