Healthcare Provider Details

I. General information

NPI: 1982125829
Provider Name (Legal Business Name): AKARI KYAW MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 BUTTE ST
REDDING CA
96001-0852
US

IV. Provider business mailing address

2054 CUPOLA DR UNIT 204
LOVELAND CO
80538-9707
US

V. Phone/Fax

Practice location:
  • Phone: 530-244-8349
  • Fax:
Mailing address:
  • Phone: 201-779-3690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberDR.0069138
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA196728
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: