Provider Demographics
NPI:1982867073
Name:AYE, THIDA (MD)
Entity Type:Individual
Prefix:
First Name:THIDA
Middle Name:
Last Name:AYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 UNION SQUARE EAST, SUITE 2K
Mailing Address - Street 2:BETH ISRAEL MEDICAL CENTER-ASIAN SERVICES
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-844-6888
Mailing Address - Fax:212-420-2794
Practice Address - Street 1:281 1ST AVE
Practice Address - Street 2:BETH ISRAEL MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2925
Practice Address - Country:US
Practice Address - Phone:212-844-6888
Practice Address - Fax:212-420-2794
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269476-1207R00000X
NY269476208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400097309Medicare UPIN