Provider Demographics
NPI:1639296700
Name:PHYU, KHINE WIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KHINE
Middle Name:WIN
Last Name:PHYU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:10418 VALLEY BLVD
Mailing Address - Street 2:ALTAMED SBC PACE -EL MONTE
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-3600
Mailing Address - Country:US
Mailing Address - Phone:626-258-1600
Mailing Address - Fax:626-258-1609
Practice Address - Street 1:10418 VALLEY BLVD
Practice Address - Street 2:ALTAMED SBC PACE -EL MONTE
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-3600
Practice Address - Country:US
Practice Address - Phone:626-258-1600
Practice Address - Fax:626-258-1609
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2014-02-06
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Provider Licenses
StateLicense IDTaxonomies
NV12471207RG0300X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVBQ180ZMedicare PIN