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NPI Code Detail

MEDICARE: DR. EDUARDO ALPAY TAN M.D.

MEDICARE: DR. EDUARDO ALPAY TAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD-23655HI

General Provider Information

NPI Number : 1033175930
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDUARDO ALPAY TAN M.D.
Provider Business Mailing Address
First Line : 86-260 FARRINGTON HWY
Second Line :
City : WAIANAE
State : HI
Zip : 96792-3128
Country : US
Telephone Number : 315-751-7747
Fax Number :
Provider Business Practice Location Address
First Line : 86-260 FARRINGTON HWY
Second Line :
City : WAIANAE
State : HI
Zip : 96792-3128
Country : US
Telephone Number : 315-751-7747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 11/28/2023

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