Island Urology Oahu LLC

NPI #1235481185 in Honolulu, Hawaii

Provider Information

NPI Number: 1235481185
Entity Type: Organization
Organization Name: Island Urology Oahu LLC
Primary Specialty: Urology
Enumeration Date: Oct 2, 2012
Last Updated: Oct 2, 2012

Practice Location

Address: 1329 LUSITANA ST STE 602
City: Honolulu
State: Hawaii
ZIP Code: 96813-2431
Phone: (808) 522-5055

Authorized Official

Name: SERGEI TIKHONENKOV, M.D.
Title: OWNER
Phone: (808) 522-5055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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