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Khin M Zaw

Internal Medicine

Allopathic & Osteopathic Physicians

1611 NW 12th Ave, Box 016960 M851, Miami, FL 33136-1005

(305) 243-4664

PECOS Enrollment

Based on the most recent information from CMS, provider Khin M Zaw does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1124032776
Provider Type
Individual
Full Name
Zaw, Khin M
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/28/2006
Last Updated
9/26/2013

Contact Information

Practice Location

1611 NW 12th Ave, Box 016960 M851, Miami, FL 33136-1005

(305) 243-4664

Unlisted Fax

Mailing Location

1611 NW 12th Ave, Box 016960 M851, Miami, FL 33136-1005

(305) 243-4664

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME73626 Florida
Code 207RG0300X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME73626 Florida

Provider Identifiers

ID	Description	Issuer
ID 2742853-00	Description Medicaid	Issuer Unlisted Florida

Khin M Zaw

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Laban, Joshua Noel

Cohn, Steven L.

Matos, John

Lipton, David Stephen

Medina, Justin Anthony

Fernandez, Itzel

Debenedictus, Christina

Gaddipati, Neelima

Scheinberg, Andrew Ross

Olivera Arencibia, Yanetsy