Provider Demographics
NPI:1215003637
Name:MYO THANT M.D.P.A.
Entity Type:Organization
Organization Name:MYO THANT M.D.P.A.
Other - Org Name:MARYLAND HEMATOLOGY/ONCOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MYO
Authorized Official - Middle Name:
Authorized Official - Last Name:THANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-687-5300
Mailing Address - Street 1:9114 PHILADELPHIA RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4317
Mailing Address - Country:US
Mailing Address - Phone:410-687-5300
Mailing Address - Fax:410-682-4418
Practice Address - Street 1:9114 PHILADELPHIA RD
Practice Address - Street 2:SUITE 208
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4317
Practice Address - Country:US
Practice Address - Phone:410-687-5300
Practice Address - Fax:410-682-4418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CG0428OtherMEDICARE RAILROAD
CG0428OtherMEDICARE RAILROAD