# THOMAS K S TAN M D INC

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

## Provider details

- **NPI number:** 1578631768
- **Authorized official:** DR. THOMAS KA SHUN TAN MD (PRESIDENT)
- **Authorized official phone:** (808) 536-9326

## Contact information

- **Practice address:** 2228 LILIHA ST, SUITE \#103, HONOLULU, HI 96817-1650
- **Practice address phone:** (808) 536-9326
- **Practice address fax:** (808) 531-9053
- **Mailing address:** 2228 LILIHA ST, SUITE 103, HONOLULU, HI 96817-1650
- **Mailing address phone:** (808) 536-9326
- **Mailing address fax:** (808) 531-9053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD9783 | HI | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 09/13/2017