Individual
DR. JOHN M. SANDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BLDG. 3089 AVE. D, MARINE CORPS BASE HAWAII, KANEOHE, HI 96863
(808) 257-3365
(808) 257-5653
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 257-3365
(808) 257-5653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-9892
HI
2083X0100X
Occupational Medicine Physician
MD-9892
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000211847
HMSA BILLING NUMBER
HI
05
—
086888-02
—
HI
Enumeration date
09/25/2006
Last updated
08/29/2011
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