Provider Demographics
NPI:1942648357
Name:LIN, THANT ZAW (MD)
Entity type:Individual
Prefix:
First Name:THANT
Middle Name:ZAW
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2820 S ALMA SCHOOL RD STE 18
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-4394
Mailing Address - Country:US
Mailing Address - Phone:480-743-3844
Mailing Address - Fax:480-914-9140
Practice Address - Street 1:908 W CHANDLER BLVD STE B-4
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2549
Practice Address - Country:US
Practice Address - Phone:480-473-3844
Practice Address - Fax:480-914-9140
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2024-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ52238208000000X
CAA1251212080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty