Individual
VALERIE BANJAWAN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
94-229 WAIPAHU DEPOT ST STE 101, WAIPAHU, HI 96797-3032
(808) 206-9849
(808) 206-9850
Mailing address
94-229 WAIPAHU DEPOT ST STE 101, WAIPAHU, HI 96797-3032
(808) 206-9849
(808) 206-9850
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
17453
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000341958
HMSA (BCBS)
HI
05
—
791120
—
HI
Enumeration date
09/15/2009
Last updated
04/22/2024
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