Organization
MEDICAL DIAGNOSTIC PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WENDELL PANG (VICE PRESIDENT)
(808) 585-7293
Entity
Organization
Contact information
Practice address
1712 LILIHA ST, SUITE 201, HONOLULU, HI 96817-5410
(808) 531-2200
(808) 531-2202
Mailing address
1834 NUUANU AVE, SUITE 203, HONOLULU, HI 96817-2427
(808) 585-7293
(808) 585-7292
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243733
HMSA
HI
05
—
579253
—
HI
Enumeration date
01/09/2007
Last updated
12/05/2007
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