Provider Demographics
NPI:1730672056
Name:AUNG, AYE MIN-THAN (MD)
Entity Type:Individual
Prefix:DR
First Name:AYE
Middle Name:MIN-THAN
Last Name:AUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AYE
Other - Middle Name:MIN
Other - Last Name:THAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:283 SNELL CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-1523
Mailing Address - Country:US
Mailing Address - Phone:408-828-7154
Mailing Address - Fax:
Practice Address - Street 1:2737 WALSH AVE
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-0965
Practice Address - Country:US
Practice Address - Phone:408-228-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA138550207RS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine