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NPI Code Detail

MEDICARE: CHO MYA MON WIN M.D.

MEDICARE:   CHO MYA MON  WIN  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
1207R00000XInternal Medicine PhysicianMD429620PA
2208M00000XHospitalist PhysicianMD429620PA
3207RC0000XCardiovascular Disease PhysicianME111988FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
134936OTHERPAHEALTH PARTNERS FF
21900834OTHERPAPERSONAL CHOICE
334935OTHERPAHEALTH PARTNERS TC
41900834OTHERPAHIGHMARK BLUE SHIELD
534937OTHERPAHEALTH PARTNERS FB
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
72767675000OTHERPAKEYSTONE, IBC

General Provider Information

NPI Number : 1376653881
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHO MYA MON WIN M.D.
Provider Business Mailing Address
First Line : 4638 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-2176
Country : US
Telephone Number : 863-386-0055
Fax Number :
Provider Business Practice Location Address
First Line : 4638 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-2176
Country : US
Telephone Number : 863-386-0055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 05/17/2015

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1144815408 — JOSEPHINE SALUBRE DELOS REYES MD
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Directions to “ CHO MYA MON WIN M.D.” Practice Location

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