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Dr. Ty Kanyn Subhawong, MD
Diagnostic Radiology Physician in Miami, Florida
NPI 1306987995

Ty Kanyn Subhawong is a Diagnostic Radiology Physician based in Miami, FL and is specialized in Diagnostic Radiology. Ty Kanyn Subhawong practices in Miami, FL and has the professional credentials of MD. The NPI Number for Ty Kanyn Subhawong is 1306987995 and holds a License No. D67444 (Florida).

The current practice location address for Ty Kanyn Subhawong is 1611 Nw 12Th Ave, Miami, FL and can be reached out via phone at 305-585-7500.

Location: 1611 Nw 12Th Ave, Miami, FL, 33136-1005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306987995
Provider Name
Ty Kanyn Subhawong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1611 Nw 12Th Ave, Miami, FL, 33136-1005
Phone Number
305-585-7500
Fax Number
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1611 Nw 12Th Ave
City
Miami
State
Florida
Zip
33136-1005
Phone Number
305-585-7500
Fax Number
person
Provider Business Mailing Address Details
Address
1611 Nw 12Th Ave
City
Miami
State
Florida
Zip
33136-1005
Phone Number
305-585-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
D67444 (Maryland)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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