Provider Demographics
NPI:1407851777
Name:MAW MAW, NINA KHIN (MD)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:KHIN
Last Name:MAW MAW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:62 CALLE MANZANITA
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4140
Mailing Address - Country:US
Mailing Address - Phone:760-836-0110
Mailing Address - Fax:760-836-0110
Practice Address - Street 1:35900 BOB HOPE DR STE 230
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1767
Practice Address - Country:US
Practice Address - Phone:760-778-7147
Practice Address - Fax:760-416-5025
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2020-08-13
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Provider Licenses
StateLicense IDTaxonomies
CAA79700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine