# MICHAEL TUBIANOSA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104195635
- **Authorized official:** MICHAEL TUBIANOSA MD (PRESIDENT)
- **Authorized official phone:** (808) 277-9645

## Contact information

- **Practice address:** 128 LEHUA ST, WAHIAWA, HI 96786-2036
- **Practice address phone:** (808) 621-8411
- **Mailing address:** PO BOX 235893, HONOLULU, HI 96823-3516
- **Mailing address phone:** (808) 277-9645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD15564 | HI | Yes |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 12/29/2011