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NPI Code Detail

MEDICARE: NI NI KHIN MD

MEDICARE: NI NI KHIN MD
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 PhysicianMD32021DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487760062
Entity Type Code : Individual
Provider Name (Legal Business Name) : NI NI KHIN MD
Provider Business Mailing Address
First Line : 1099 FAIRBANK ST
Second Line :
City : GREAT FALLS
State : VA
Zip : 22066-1803
Country : US
Telephone Number : 703-757-1990
Fax Number :
Provider Business Practice Location Address
First Line : 3020 14TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-6865
Country : US
Telephone Number : 202-299-1539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 07/09/2012

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Directions to “ NI NI KHIN MD” Practice Location

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