MEDICARE: DR. WIN NAING 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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A87791	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1417986498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WIN NAING M.D.

Provider Business Mailing Address
First Line	:	6900 NORTH PECOS RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-4400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2822 KINNOW PLACE
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-4476
Country	:	US
Telephone Number	:	626-709-7168
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	11/04/2015

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