Provider Demographics
NPI:1184204760
Name:HTUN, NYEIN NYEIN (MD)
Entity Type:Individual
Prefix:
First Name:NYEIN NYEIN
Middle Name:
Last Name:HTUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4433 KETCHAM ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3638
Mailing Address - Country:US
Mailing Address - Phone:929-438-9409
Mailing Address - Fax:
Practice Address - Street 1:4433 KETCHAM ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3638
Practice Address - Country:US
Practice Address - Phone:929-438-9409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program