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NPI Code Detail

MEDICARE: THEIN TUN AUNG M.D.

MEDICARE:   THEIN TUN AUNG  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
1207RC0001XClinical Cardiac Electrophysiology Physician35.126638OH
2207R00000XInternal Medicine PhysicianOH126638OH

General Provider Information

NPI Number : 1295033116
Entity Type Code : Individual
Provider Name (Legal Business Name) : THEIN TUN AUNG M.D.
Provider Business Mailing Address
First Line : 3170 KETTERING BLVD
Second Line : BUILDING B 3RD FLOOR
City : MORAINE
State : OH
Zip : 45439-1924
Country : US
Telephone Number : 937-991-3188
Fax Number : 937-223-9811
Provider Business Practice Location Address
First Line : 1530 NEEDMORE RD
Second Line : STE 300
City : DAYTON
State : OH
Zip : 45414-3980
Country : US
Telephone Number : 937-277-4274
Fax Number : 937-277-8476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2011
Last Update Date : 01/11/2021

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Directions to “ THEIN TUN AUNG M.D.” Practice Location

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