Organization
THOMAS K S TAN M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS KA SHUN TAN MD (PRESIDENT)
(808) 536-9326
Entity
Organization
Contact information
Practice address
2228 LILIHA ST, SUITE #103, HONOLULU, HI 96817-1650
(808) 536-9326
(808) 531-9053
Mailing address
2228 LILIHA ST, SUITE 103, HONOLULU, HI 96817-1650
(808) 536-9326
(808) 531-9053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD9783
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080992 01
—
HI
01
—
192133
HMA
HI
01
—
B211108
HMSA
HI
01
—
MD-9783-03
MDX - HAWAII
HI
Enumeration date
12/04/2006
Last updated
09/13/2017
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