Individual
DR. CLIFFORD TERUO TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46-001 KAMEHAMEHA HIGHWAY, SUITE 312, KANEOHE, HI 96744
(808) 247-2255
(808) 247-7642
Mailing address
46-001 KAMEHAMEHA HIGHWAY, SUITE 312, KANEOHE, HI 96744
(808) 247-2255
(808) 247-7642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5220
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0021335
BLUE CROSS/SHIELD
HI
05
—
01939201
—
HI
Enumeration date
10/04/2006
Last updated
07/08/2007
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