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Individual

DR. TRICIA LIN KAM SONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A89908
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD14420
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000272153
HMSA
HI
01
02143324
UNIVERSITY HEALTH ALLIANCE (UHA)
HI
01
61317600
ALOHACARE QUEST PLAN (QALC)
HI
01
61317601
MEDICAID DSS
HI
Enumeration date
07/23/2007
Last updated
08/22/2013
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