KHIN MAR OO (MD) – Adult Medicine Physician, NPI 1790786127
Adult Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KHIN MAR OO (MD)
2121, Lake Avenue, Fort Wayne, Allen County, Indiana, 46805, United States
FORT WAYNE, IN 468055100
Phone: (260) 426-5431
Fax: (260) 421-1092
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-06-29
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46805)
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