| Joshua Ch Tan Md Inc | |
|
550 S Beretania St Ste # 608 Honolulu HI 96813-2414 | |
| (808) 949-8988 | |
| (808) 538-1920 |
| Full Name | Joshua Ch Tan Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 S Beretania St, Honolulu, Hawaii |
| Authorized Official Name and Position | Joshua Ch Tan (PRESIDENT OF THE CORPORATION) |
| Authorized Official Contact | 8089498988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Ch Tan Md Inc 550 S Beretania St Ste # 608 Honolulu HI 96813-2496 Ph: (808) 949-8988 | Joshua Ch Tan Md Inc 550 S Beretania St Ste # 608 Honolulu HI 96813-2414 Ph: (808) 949-8988 |
| NPI Number | 1932166238 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 12/31/2014 |
| Medicare PECOS PAC ID | 8224281621 |
|---|---|
| Medicare Enrollment ID | O20130115000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932166238 | NPI | - | NPPES |
| GW054A | Other | PTAN | |
| 07096001 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7552 (Hawaii) | Primary |
| Provider Name | Joshua C Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922297845 PECOS PAC ID: 2163491994 Enrollment ID: I20060105000165 |
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