Provider Demographics
NPI:1427463918
Name:MAUNG, LINN HTET (MD)
Entity type:Individual
Prefix:DR
First Name:LINN
Middle Name:HTET
Last Name:MAUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4545 MATTOS DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-6736
Mailing Address - Country:US
Mailing Address - Phone:510-792-9405
Mailing Address - Fax:510-792-0212
Practice Address - Street 1:4545 MATTOS DR
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-6736
Practice Address - Country:US
Practice Address - Phone:415-476-1239
Practice Address - Fax:510-792-0212
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA615091223S0112X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery