Provider Demographics
NPI:1295040673
Name:SAW, AYE MYAT MYAT (MD)
Entity Type:Individual
Prefix:
First Name:AYE
Middle Name:MYAT MYAT
Last Name:SAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AYE
Other - Middle Name:MYAT
Other - Last Name:SAW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:10800 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505
Mailing Address - Country:US
Mailing Address - Phone:951-353-2000
Mailing Address - Fax:
Practice Address - Street 1:1517 BAY RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2214
Practice Address - Country:US
Practice Address - Phone:718-630-6374
Practice Address - Fax:718-630-8471
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA126053207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine