Organization
ISLAND UROLOGY OAHU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEI TIKHONENKOV M.D. (OWNER)
(808) 522-5055
Entity
Organization
Contact information
Practice address
1329 LUSITANA ST STE 602, HONOLULU, HI 96813-2431
(808) 522-5055
(808) 524-6306
Mailing address
1329 LUSITANA ST STE 602, HONOLULU, HI 96813-2431
(808) 522-5055
(808) 524-6306
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD-14871
HI
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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