Tan, Andrew W.

Tan, Andrew W. is an individual health care provider with primary practice located at 80 Mahalani St , Wailuku HI 96793-2531. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Tan, Andrew W. can be contacted via phone (808) 243-6000.

Contact Information

Primary practice address
80 Mahalani St Wailuku HI 96793-2531
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD13193 Hawaii
Allopathic & Osteopathic Physicians / Surgery 208600000X MD-13193 Hawaii

Profile Details

NPI number 1801836580
LBN Legal business name Tan, Andrew W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated May 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801836580 NPPES
Hawaii MEDICAID PENDING

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