Healthcare Provider Details

I. General information

NPI: 1740539212
Provider Name (Legal Business Name): THANDAR AUNG M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2012
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3471 5TH AVE STE 810
PITTSBURGH PA
15213-3206
US

IV. Provider business mailing address

3471 5TH AVE STE 810
PITTSBURGH PA
15213-3206
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-8762
  • Fax:
Mailing address:
  • Phone: 412-692-4920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberMD471213
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: