Healthcare Provider Details

I. General information

NPI: 1407945835
Provider Name (Legal Business Name): SEIN WIN M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6408 SEVEN CORNERS PL STE A
FALLS CHURCH VA
22044-2011
US

IV. Provider business mailing address

6408 SEVEN CORNERS PL STE A
FALLS CHURCH VA
22044-2011
US

V. Phone/Fax

Practice location:
  • Phone: 703-538-4197
  • Fax: 703-538-5197
Mailing address:
  • Phone: 703-538-4197
  • Fax: 703-538-5197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number0101053486
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101053486
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: