Dr. Ty K. Subhawong MD
Diagnostic Radiology Physician in Miami, FL(View on Map)
Full Name
Dr. Ty Kanyn Subhawong MD
NPI Number
1306987995
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/08/2007
Specialties
(Taxonomies)Licenses
State
Florida
Maryland
License Number
ME110653
D67444
Contact
Information
Purpose
Mailing
Location
Address
1611 NW 12TH AVE
1611 NW 12TH AVE
City
Miami
Miami
State
FL
FL
Postal Code
33136-1005
33136-1005
Country
US
US
Telephone Number
(305) 585-7500
(305) 585-7500
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/14/2016