Individual
DR. ROBERT K TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1965 JUDD HILLSIDE RD, HONOLULU, HI 96822-2007
(808) 735-9093
Mailing address
PO BOX 62053, HONOLULU, HI 96839-2053
(808) 735-9093
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD4431
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01213201
—
HI
Enumeration date
10/17/2006
Last updated
07/08/2007
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