Individual
MR. ROSS EIICHI TANOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1329 LUSITANA ST STE B2, HONOLULU, HI 96813-2401
(808) 599-4200
(808) 599-4300
Mailing address
1329 LUSITANA ST STE B2, HONOLULU, HI 96813-2401
(808) 599-4200
(808) 599-4300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD4309
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01302301
—
HI
01
—
13805
HMSA
HI
01
—
3965168
UNITED HEALTHCARE
HI
01
—
A13805
HMSA
HI
Enumeration date
12/19/2006
Last updated
07/08/2007
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