Provider Demographics
NPI:1467652149
Name:LATT, KYAW T (MD)
Entity type:Individual
Prefix:
First Name:KYAW
Middle Name:T
Last Name:LATT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7213 GREEN SLOPE DR
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-1306
Mailing Address - Country:US
Mailing Address - Phone:813-355-4914
Mailing Address - Fax:855-547-5415
Practice Address - Street 1:7213 GREEN SLOPE DR
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-1306
Practice Address - Country:US
Practice Address - Phone:813-355-4914
Practice Address - Fax:855-547-5415
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME170888207R00000X
FLME98520208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278996500Medicaid
FLAJ143ZMedicare PIN