DR. Antonio K. Tan, M.D.

NPI #1184800997 in Honolulu, Hawaii

Provider Information

NPI Number: 1184800997
Entity Type: Individual
Name: DR. Antonio K. Tan, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Jan 11, 2008
Last Updated: Jan 11, 2008

Practice Location

Address: 1712 LILIHA ST.
Address 2: STE.302
City: Honolulu
State: Hawaii
ZIP Code: 96817-3100
Phone: (808) 521-8288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Urology	208800000X	Primary

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