Healthcare Provider Details

I. General information

NPI: 1568811347
Provider Name (Legal Business Name): HTAR SU HLAING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6651 SILVER CREST RD STE 103
BATH PA
18014-8906
US

IV. Provider business mailing address

6651 SILVER CREST RD STE 103
BATH PA
18014-8906
US

V. Phone/Fax

Practice location:
  • Phone: 484-658-5437
  • Fax:
Mailing address:
  • Phone: 484-658-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA160089
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD472213
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: