Provider Demographics
NPI:1750690277
Name:ZAW, THET NAING (MD)
Entity type:Individual
Prefix:
First Name:THET
Middle Name:NAING
Last Name:ZAW
Suffix:
Gender:M
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 1:2012 OCILLA RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31533-2230
Mailing Address - Country:US
Mailing Address - Phone:912-384-7210
Mailing Address - Fax:912-384-5130
Practice Address - Street 1:2012 OCILLA RD
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2230
Practice Address - Country:US
Practice Address - Phone:912-384-7210
Practice Address - Fax:912-384-5130
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA072948207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA072948OtherGEORGIA MEDICAL LICENCE