Basic Information
| Provider Information | |||||||||
| NPI: | 1932259744 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHWE | ||||||||
| FirstName: | TIN-AUNG | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21633 AVENUE 24 | ||||||||
| Address2: | VALLEY STATE PRISON FOR WOMAN | ||||||||
| City: | CHOWCHILLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936109650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596656100 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 21633 AVENUE 24 | ||||||||
| Address2: | VALLEY STATE PRISON FOR WOMAN | ||||||||
| City: | CHOWCHILLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936109650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596656100 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/12/2007 | ||||||||
| LastUpdateDate: | 11/23/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A95499 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.