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NPI Code Detail

MEDICARE: DR. KHIN THET MAW M.D.

MEDICARE: DR. KHIN THET MAW M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianBM0101040958VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083725717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHIN THET MAW M.D.
Provider Business Mailing Address
First Line : 6208 HOMESPUN LN
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22044-1012
Country : US
Telephone Number : 703-216-1421
Fax Number :
Provider Business Practice Location Address
First Line : 8119 HOLLAND RD
Second Line : GARTLAN MOUNT VERNON
City : ALEXANDRIA
State : VA
Zip : 22314-1912
Country : US
Telephone Number : 703-216-1421
Fax Number : 703-782-1593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/11/2013

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