Organization
EUGENE T TANABE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE T TANABE MD (PRESIDENT)
(808) 487-8922
Entity
Organization
Contact information
Practice address
98-1079 MOANALUA RD STE 460, AIEA, HI 96701-4723
(808) 487-8922
(808) 486-8466
Mailing address
98-1079 MOANALUA RD STE 460, AIEA, HI 96701-4723
(808) 487-8922
(808) 486-8466
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4072
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274901
—
HI
01
—
H0000BDHVT
MEDICARE ID TYPE UNSPECIFIED
HI
Enumeration date
12/08/2010
Last updated
12/08/2010
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