Provider Demographics
NPI:1396136875
Name:OO, SWE ZIN MAR WINHTUT (MD)
Entity type:Individual
Prefix:
First Name:SWE ZIN MAR WINHTUT
Middle Name:
Last Name:OO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 WASHINGTON VILLAGE DR STE 220
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4094
Mailing Address - Country:US
Mailing Address - Phone:937-438-0902
Mailing Address - Fax:937-438-0099
Practice Address - Street 1:7700 WASHINGTON VILLAGE DR STE 230
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4094
Practice Address - Country:US
Practice Address - Phone:937-438-0099
Practice Address - Fax:937-438-8707
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-05
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT207780207R00000X
IAMT207780207RN0300X
OH35.138450207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine