Healthcare Provider Details

I. General information

NPI: 1548842230
Provider Name (Legal Business Name): SHWE SIN A EI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPT. OF MEDICINE MEDICAL SERVICE GROUP 725 E. ADAMS ST., 5TH FLOOR
SYRACUSE NY
13210
US

IV. Provider business mailing address

DEPT. OF MEDICINE MEDICAL SERVICE GROUP 725 E. ADAMS ST., 5TH FLOOR
SYRACUSE NY
13210
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-5726
  • Fax: 315-464-2510
Mailing address:
  • Phone: 315-464-5726
  • Fax: 315-464-2510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number331996
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number331996
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: