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Individual

DR. ANDREW GEORGE TENHAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
62-3600 AMAUI PL, # 3202, KAMUELA, HI 96743-7734
(808) 987-7608
Mailing address
62-3600 AMAUI PL, # 3202, KAMUELA, HI 96743-7734
(808) 987-7608

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A54840
CA
207Q00000X
Family Medicine Physician
MD10584
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A54840
STATE MEDICAL LICENSE
CA
Enumeration date
12/15/2006
Last updated
02/10/2022
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