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Provider Information for 1164404505



DR. ALFRED CHIT MYAING MD

Gender: MALE

Individual NPI: 1164404505

Calendar Last Updated: 2008-07-01

Details

Name Value
NPI 1164404505
Enumeration Date 2005-11-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2863 DUKE STREET
ALEXANDRIA, VA 22314
United States

Phone: 703-823-0720 | Fax: 703-823-2157
View Map External Link
Primary Practice Address 2863 DUKE STREET
ALEXANDRIA, VA 22314
United States

Phone: 703-823-0720 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID VA 6040471
Other BCBS DC 8288
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RC0000X - Internal Medicine Cardiovascular Disease VA 0101031732