Provider Demographics
NPI:1255511127
Name:ZAW, THANT
Entity type:Individual
Prefix:
First Name:THANT
Middle Name:
Last Name:ZAW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6434 224TH ST
Mailing Address - Street 2:APT #A
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2318
Mailing Address - Country:US
Mailing Address - Phone:718-352-2416
Mailing Address - Fax:
Practice Address - Street 1:6434 224TH ST
Practice Address - Street 2:APT #A
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-2318
Practice Address - Country:US
Practice Address - Phone:718-352-2416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246129207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine