Provider Demographics
NPI:1427133933
Name:TUN, KYAW (MD)
Entity type:Individual
Prefix:DR
First Name:KYAW
Middle Name:
Last Name:TUN
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 1:215 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002
Mailing Address - Country:US
Mailing Address - Phone:212-228-3130
Mailing Address - Fax:212-228-3368
Practice Address - Street 1:63 CATHERINE ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038
Practice Address - Country:US
Practice Address - Phone:212-619-2653
Practice Address - Fax:212-393-9011
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1451132080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000107550201OtherHEALTHPLUS
NY26N9752OtherNEIGHBROHOOD
NY26P3032OtherNEWYORK PRESBYTERIAN
NY231437OtherWELLCARE
NY305402OtherWELLCARE
NY0055173OtherGHI
NY10201807OtherAMERIGROUP
NM14511301OtherNEIGHBROHOOD
NY145113A20OtherHEALTHFRIST
NY00593577Medicaid
NY0473230OtherAETNA
NY132492POtherHIP
NY10201806OtherAMERIGROUP
NY000107550101OtherHEALTH PLUS
11648POtherHIP
NY145113B20OtherHEALTHFIRST
NM26P3031OtherNEWYORK PRESBYTERIAN
NY0473230OtherAETNA
NY231437OtherWELLCARE