Healthcare Provider Details

I. General information

NPI: 1902042542
Provider Name (Legal Business Name): WIN WIN MYINT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WIN WIN MYINT MD

II. Dates (important events)

Enumeration Date: 01/04/2009
Last Update Date: 03/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 N FRESNO ST
FRESNO CA
93720-2941
US

IV. Provider business mailing address

2619 E TARRAGON WAY
FRESNO CA
93720-4928
US

V. Phone/Fax

Practice location:
  • Phone: 917-254-5648
  • Fax:
Mailing address:
  • Phone: 917-254-5648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberA115860
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: