Provider Demographics
NPI:1447575626
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:PHYSICIAN
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:410-420-1480
Mailing Address - Street 1:602 S ATWOOD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4172
Mailing Address - Country:US
Mailing Address - Phone:410-420-1480
Mailing Address - Fax:410-803-4411
Practice Address - Street 1:602 S ATWOOD RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4172
Practice Address - Country:US
Practice Address - Phone:410-420-1480
Practice Address - Fax:410-803-4411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-31
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD18487207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD830005807OtherMEDICARE RAILROAD
MD530001100Medicaid
MD830005807OtherMEDICARE RAILROAD
MDB69794Medicare UPIN
MD530001100Medicaid