Provider Demographics
NPI:1508976507
Name:SAW HTUN, MD PC
Entity Type:Organization
Organization Name:SAW HTUN, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAW
Authorized Official - Middle Name:
Authorized Official - Last Name:HTUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-990-9031
Mailing Address - Street 1:2401 RESEARCH BLVD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3215
Mailing Address - Country:US
Mailing Address - Phone:301-990-9031
Mailing Address - Fax:301-990-9036
Practice Address - Street 1:2401 RESEARCH BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3215
Practice Address - Country:US
Practice Address - Phone:301-990-9031
Practice Address - Fax:301-990-9036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0051382208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG71861Medicare UPIN