Basic Information
Provider Information | |||||||||
NPI: | 1306242839 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | AUNG | ||||||||
FirstName: | ZABU MYINT | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 200 HAWKINS DR | ||||||||
Address2: | DEPT OF INTERNAL MEDICINE SE611 GH | ||||||||
City: | IOWA CITY | ||||||||
State: | IA | ||||||||
PostalCode: | 52242 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3193564019 | ||||||||
FaxNumber: | 3193538073 | ||||||||
Practice Location | |||||||||
Address1: | 800 ROSE ST | ||||||||
Address2: |   | ||||||||
City: | LEXINGTON | ||||||||
State: | KY | ||||||||
PostalCode: | 405361009 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8593236047 | ||||||||
FaxNumber: | 8592573873 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 11/11/2014 | ||||||||
LastUpdateDate: | 01/27/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 01/27/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MT207371 | PA | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 207R00000X | MD44430 | IA | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 208M00000X | MD-44430 | IA | N |   | Allopathic & Osteopathic Physicians | Hospitalist |   | 208M00000X | TP373 | KY | N |   | Allopathic & Osteopathic Physicians | Hospitalist |   | 208M00000X | 56263 | KY | Y |   | Allopathic & Osteopathic Physicians | Hospitalist |   |
No ID Information.