Healthcare Provider Details

I. General information

NPI: 1114210226
Provider Name (Legal Business Name): KHINE SWE ZIN MIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2011
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7TH AND CLAYTON STREETS
WILMINGTON DE
19805-3155
US

IV. Provider business mailing address

7 PRESIDENTIAL DR APT D
WILMINGTON DE
19807-3218
US

V. Phone/Fax

Practice location:
  • Phone: 302-575-8040
  • Fax:
Mailing address:
  • Phone: 312-852-5175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME132790
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberME132790
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME132790
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC1-0011076
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: