Basic Information
Provider Information
NPI: 1902327190
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOE
FirstName: MAY NYEIN CHANN
MiddleName:  
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NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 101 AVE OF THE ARTS APT 517
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198015060
CountryCode: US
TelephoneNumber: 6262672249
FaxNumber:  
Practice Location
Address1: 701 N CLAYTON ST
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198053165
CountryCode: US
TelephoneNumber: 3024214100
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/28/2017
LastUpdateDate: 10/31/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 10/31/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  N HospitalsGeneral Acute Care Hospital 
207R00000XC1-0013723DEY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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