Khin Mar Oo is a Adult Medicine in Fort Wayne, Indiana. Khin Mar Oo practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Khin Mar Oo is 1790786127. The last update date is 2013-05-09.
Khin Mar Oo's current location address is 2121 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604265431 and fax number 2604211092. The mailing address for Khin Mar Oo is 2121 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khin Mar Oo |
|---|---|
| Address | 2121 Lake Ave, Fort Wayne, Indiana |
| Phone Number | 2604265431 |
| Fax Number | 2604211092 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790786127 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2013-05-09 |
Provider Mailing Address Detail
| Address | 2121 Lake Ave |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468055100 |
| Phone Number | 2604265431 |
| Fax Number | 2604211092 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 01044410A |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81125 | IN | ANTHEM | |
| 110123397 | IN | RAILROAD MEDICARE | |
| 6664 | IL | PHYSICIANS HEALTH PLAN |
Post Comment/ Review Below
What is the unique identifier code issued to Khin Mar Oo by the Centers for Medicare & Medicaid Services (CMS)?
The Khin Mar Oo has been assigned the NPI (National Provider Identifier) 1790786127. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Khin Mar Oo?
The Khin Mar Oo is physically situated at 2121 Lake Ave, in the city of Fort Wayne, state of IN, with the postal code 468055100.
What is Khin Mar Oo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Khin Mar Oo is Adult Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0505X.
On what date did the Khin Mar Oo receive its 1790786127 assignment from the Centers for Medicare & Medicaid Services?
The Khin Mar Oo was assigned its 1790786127 by the Centers for Medicare & Medicaid Services on 2005-08-09.
As of what date was the information pertaining to Khin Mar Oo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Khin Mar Oo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-05-09.