| Thomas K S Tan M D Inc | |
|
2228 Liliha St Suite #103 Honolulu HI 96817-1650 | |
| (808) 536-9326 | |
| (808) 531-9053 |
| Full Name | Thomas K S Tan M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2228 Liliha St, Honolulu, Hawaii |
| Authorized Official Name and Position | Thomas Ka Shun Tan (PRESIDENT) |
| Authorized Official Contact | 8085369326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas K S Tan M D Inc 2228 Liliha St Suite 103 Honolulu HI 96817-1650 Ph: (808) 536-9326 | Thomas K S Tan M D Inc 2228 Liliha St Suite #103 Honolulu HI 96817-1650 Ph: (808) 536-9326 |
| NPI Number | 1578631768 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 09/13/2017 |
| Medicare PECOS PAC ID | 5092968289 |
|---|---|
| Medicare Enrollment ID | O20130122000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578631768 | NPI | - | NPPES |
| B211108 | Other | HI | HMSA |
| MD-9783-03 | Other | HI | MDX - HAWAII |
| 192133 | Other | HI | HMA |
| 080992 01 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD9783 (Hawaii) | Primary |
| Provider Name | Thomas K Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447328620 PECOS PAC ID: 1254354475 Enrollment ID: I20060113000009 |
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