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NPI Code Detail

MEDICARE: THAN ZAW WIN TIN MD

MEDICARE: THAN ZAW WIN TIN 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
1207R00000XInternal Medicine Physician37877TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24134490OTHERTNBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
47054406OTHERTNCIGNA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619943792
Entity Type Code : Individual
Provider Name (Legal Business Name) : THAN ZAW WIN TIN MD
Provider Business Mailing Address
First Line : 7100 COMMERCE WAY
Second Line : SUITE 180
City : BRENTWOOD
State : TN
Zip : 37067-6325
Country : US
Telephone Number : 615-465-7000
Fax Number :
Provider Business Practice Location Address
First Line : 2305 CHAMBLISS AVE NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-3847
Country : US
Telephone Number : 423-559-6000
Fax Number : 423-559-6653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 08/13/2008

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