Individual
ALLAN NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
48 LONO AVE, KAHULUI, HI 96732-1614
(808) 871-7772
(808) 872-4029
Mailing address
48 LONO AVE, KAHULUI, HI 96732-1614
(808) 871-7772
(808) 872-4029
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MD-14215
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071290-01
—
HI
Enumeration date
12/10/2007
Last updated
12/10/2007
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