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Soe Tin Maunglay, MD
Hematology & Oncology Physician in Riverside, California
NPI 1093864373

Soe Tin Maunglay is a Hematology & Oncology Physician based in La Quinta, CA and is specialized in Hematology & Oncology. Soe Tin Maunglay practices in Riverside, CA and has the professional credentials of MD. The NPI Number for Soe Tin Maunglay is 1093864373 and holds a License No. C152411 (California).

The current practice location address for Soe Tin Maunglay is 4500 Brockton Ave Ste 316, Riverside, CA and can be reached out via phone at 951-394-3055 and via fax at 951-394-3077.

Location: 4500 Brockton Ave Ste 316, Riverside, CA, 92253-9034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093864373
Provider Name
Soe Tin Maunglay
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4500 Brockton Ave Ste 316, Riverside, CA, 92253-9034
Phone Number
951-394-3055
Fax Number
951-394-3077
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
277913700 05 FL
124493 01 AL AL MEDICAID- BREWTON
124237 01 AL AL MEDICAID- NORTH DAVIS
093-896 01 MI BLUE CROSS BLUE SHEILD
124241 01 AL AL MEDICAID- GULF BREEZE
P17390012 01 MI MEDICARE
institution
Provider Business Practice Location Address Details
Address
4500 Brockton Ave Ste 316
City
Riverside
State
California
Zip
92501-4090
Phone Number
951-394-3055
Fax Number
951-394-3077
person
Provider Business Mailing Address Details
Address
4500 Brockton Ave Ste 316
City
Riverside
State
California
Zip
92501-4090
Phone Number
951-394-3055
Fax Number
951-394-3077
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
C152411 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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