MAUNG MAUNG KHIN (NPI# 1427342963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427342963 |
Entity Type | Individual |
Full Name | MAUNG MAUNG KHIN |
Credential | M.D. |
Practice Address |
4601 Dale Rd 4th Floor Modesto CA 95356-9718 |
Mailing Address |
2712 Prosperity Way Modesto CA 95355-8647 |
Practice Telephone | 2097354582 |
Mailing Telephone | 6507737638 |
Enumeration Date | 2011-06-01 |
Last Update Date | 2012-12-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
A115675 | CA | Hospitals |
Street Address |
4601 DALE RD 4TH FLOOR |
City | MODESTO |
State | CA |
Zip Code | 95356-9718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912998311 | Stephen Matthew Willey | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356 | 2005-11-03 |
1760098263 | Paola Ramirez | Behavior Technician | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-09-20 |
1538772678 | Roy Choi | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-08-28 |
1730797499 | Donna Cruz | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-20 |
1538777487 | Kyle Wesley Hopson | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-16 |
1376176313 | Su Jin Yeo | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-18 |
1972135580 | Tran Huyen Smernes | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-11 |
1740827534 | Evelyn Kwong | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-11-29 |
1467000463 | Oanh Hoang Nguyen Phan | Nurse Practitioner | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-09-03 |
1598311227 | Janine Grace Lastimosa Tennant | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-08-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
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Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073673737 | Memorial Medical Center | General Acute Care Hospital | 1700 Coffee Road, Modesto, CA 95355-2803 | 2006-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407208713 | Moheb Youssef,m.d.,inc | General Acute Care Hospital | 5730 Glen Oaks Dr, La Verne, CA 91750-1713 | 2016-07-11 |
1659720373 | Pavel S. Volkov, M.d. Inc. | General Acute Care Hospital | 2393 E Strathmore Pl, Fresno, CA 93730-9717 | 2016-06-03 |
1841647575 | Ma Corazon Sabado Domine-flores | General Acute Care Hospital | 13884 Euclid St Apt B01, Garden Grove, CA 92843-3401 | 2016-05-23 |
1215305404 | Karen Samartan | General Acute Care Hospital | 6361 Varsity Dr, Huntington Beach, CA 92647-6544 | 2015-09-04 |
1427486802 | Lake Arrowhead Physical Therapy | General Acute Care Hospital | 29099 Hospital Rd Suite 106, Lake Arrowhead, CA 92352-0070 | 2013-10-23 |
1841626587 | Adventist Health Clearlake Hospital, Inc | General Acute Care Hospital | 9430 Lake St, Lower Lake, CA 95457-8600 | 2013-09-25 |
1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
1881960698 | Lisa M Bach Bohler | General Acute Care Hospital | 2202 N Magnolia Rd, Palm Springs, CA 92262-3652 | 2012-03-26 |
1750680914 | Cedars-sinai Medical Center | General Acute Care Hospital | 1650 Manning Ave, Los Angeles, CA 90024-5810 | 2011-03-26 |
1962705772 | Needles Hospital, Inc | General Acute Care Hospital | 1916 Desoto St, Needles, CA 92363-3023 | 2010-12-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.