Individual
THANABOON YINADSAWAPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1356 LUSITANA ST FL 7, HONOLULU, HI 96813-2409
(917) 657-7634
Mailing address
1356 LUSITANA ST FL 7, HONOLULU, HI 96813-2409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR-8493
HI
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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