Basic Information
| Provider Information | |||||||||
| NPI: | 1295033116 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | AUNG | ||||||||
| FirstName: | THEIN | ||||||||
| MiddleName: | TUN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3170 KETTERING BLVD | ||||||||
| Address2: | BUILDING B 3RD FLOOR | ||||||||
| City: | MORAINE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454391924 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9379913188 | ||||||||
| FaxNumber: | 9372239811 | ||||||||
| Practice Location | |||||||||
| Address1: | 1530 NEEDMORE RD | ||||||||
| Address2: | STE 300 | ||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454143980 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9372774274 | ||||||||
| FaxNumber: | 9372778476 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2011 | ||||||||
| LastUpdateDate: | 01/11/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 01/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0001X | 35.126638 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Clinical Cardiac Electrophysiology | 207R00000X | OH126638 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.