Basic Information
Provider Information
NPI: 1669836581
EntityType: 2
ReplacementNPI:  
OrganizationName: AUNG K ZAW MD LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
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Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 59 DAMONTE RANCH PKWY STE B-577
Address2:  
City: RENO
State: NV
PostalCode: 895211907
CountryCode: US
TelephoneNumber: 7024533799
FaxNumber: 7024535741
Practice Location
Address1: 801 E WILLIAMS AVE
Address2:  
City: FALLON
State: NV
PostalCode: 894063052
CountryCode: US
TelephoneNumber: 7024533799
FaxNumber: 7024535741
Other Information
ProviderEnumerationDate: 04/06/2016
LastUpdateDate: 04/06/2016
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: ZAW
AuthorizedOfficialFirstName: AUNG
AuthorizedOfficialMiddleName: K
AuthorizedOfficialTitleorPosition: SOLE OWNER
AuthorizedOfficialTelephone: 7024533799
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X15958NVY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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