Kyaw Htyte, MBBS, MPH, PHD, MBA

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

AEE-17-11293 Issued in NY

Practice address

115 Broadway Ste 1800
New York, NY 10006-1652

Phone

(917) 913-4005

NPI assigned

Jan 20, 2019

Last updated

Jan 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547942400000",
    "number": "1417421728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294415",
            "telephone_number": "917-913-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BROADWAY STE 1800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061652",
            "telephone_number": "917-913-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HTYTE",
        "first_name": "KYAW",
        "name_prefix": "Dr.",
        "credential": "MBBS, MPH, PHD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-20",
        "last_updated": "2019-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "AEE-17-11293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AESTHETIC LICENSE",
            "identifier": "AEE-17-11293",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Procedural Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.