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Dr. Myo Thant

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NPI Number Detailed Information

Provider Information:

Name: Dr. Myo Thant
Gender: M
Provider License Number If Given: D0018487

NPI Information:

NPI: 1124013545
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 2/1/2016

Provider Business Mailing Address:

Address: 1000 WESTWICKE LN SUITE 208
Lutherville, MD 21093
Phone Number: 4106875300
Fax Number: 4106824418

Provider Business Practice Location Address:

Address: 9114 PHILADELPHIA RD SUITE 208
Baltimore, MD 21237
Phone Number: 4106875300
Fax Number: 4106824418

Provider Taxonomy:

Primary: 207RH0003X
Secondary (if any):
State: MD

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