| Thida Win MD Inc | |
|
100 S Raymond Ave Alhambra CA 91801-3166 | |
| (626) 677-8218 | |
| Not Available |
| Full Name | Thida Win MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 S Raymond Ave, Alhambra, California |
| Authorized Official Name and Position | Thida Win (PRESIDENT) |
| Authorized Official Contact | 6266778218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thida Win MD Inc Po Box 788 Hemet CA 92546-0788 Ph: (951) 929-6260 | Thida Win MD Inc 100 S Raymond Ave Alhambra CA 91801-3166 Ph: (626) 677-8218 |
| NPI Number | 1134644099 |
|---|---|
| Provider Enumeration Date | 08/11/2017 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 2769758713 |
|---|---|
| Medicare Enrollment ID | O20171019001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134644099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
| Provider Name | Thida Win |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871754507 PECOS PAC ID: 0547390981 Enrollment ID: I20140322000200 |
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