Individual
DR. TIMOTHY HOON MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91-2141 FORT WEAVER RD, EWA BEACH, HI 96706-1993
(808) 691-3000
Mailing address
91-2141 FORT WEAVER RD, EWA BEACH, HI 96706-1993
(808) 691-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A138833
CA
207Q00000X
Family Medicine Physician
M-2073
GU
207Q00000X
Family Medicine Physician
MTL-2017-080
GU
207R00000X
Internal Medicine Physician
M-2073
GU
207R00000X
Internal Medicine Physician
Primary
MD-22072
HI
207R00000X
Internal Medicine Physician
MTL-2017-080
GU
208M00000X
Hospitalist Physician
M-14568
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002163
—
HI
Enumeration date
06/19/2014
Last updated
05/27/2025
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