Provider Demographics
NPI:1043518665
Name:LWIN, KYAW KYAW (MD)
Entity type:Individual
Prefix:DR
First Name:KYAW
Middle Name:KYAW
Last Name:LWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9430 59TH AVE
Mailing Address - Street 2:APT 3G
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5160
Mailing Address - Country:US
Mailing Address - Phone:347-209-9573
Mailing Address - Fax:
Practice Address - Street 1:9430 59TH AVE
Practice Address - Street 2:APT 3G
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5160
Practice Address - Country:US
Practice Address - Phone:347-209-9573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-06
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101249508208M00000X
TXP0430207R00000X
CAA116283207R00000X
NMMD2011-0091207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist