Provider Demographics
NPI:1982795183
Name:KHIN H LWIN MD PA
Entity Type:Organization
Organization Name:KHIN H LWIN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KHIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:LWIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-581-3100
Mailing Address - Street 1:300 NW 70 AVENUE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317
Mailing Address - Country:US
Mailing Address - Phone:954-581-3100
Mailing Address - Fax:954-581-7773
Practice Address - Street 1:300 NW 70 AVENUE
Practice Address - Street 2:SUITE 107
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317
Practice Address - Country:US
Practice Address - Phone:954-581-3100
Practice Address - Fax:954-581-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME33875208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD63087Medicare UPIN