Individual
LYNN DEREK MADANAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
347 N KUAKINI ST, KUAKINI MEDICAL CENTER DEPARTMENT OF NUCLEAR MEDICINE, HONOLULU, HI 96817-2336
(808) 547-9549
(808) 547-9554
Mailing address
347 N KUAKINI ST, KUAKINI MEDICAL CENTER DEPARTMENT OF NUCLEAR MEDICINE, HONOLULU, HI 96817-2336
(808) 547-9549
(808) 547-9554
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
4768
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01326502
—
HI
Enumeration date
09/17/2006
Last updated
05/18/2020
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