Healthcare Provider Details

I. General information

NPI: 1376636530
Provider Name (Legal Business Name): PAK S. TANG, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 LILIHA ST
HONOLULU HI
96817-1646
US

IV. Provider business mailing address

PO BOX 1300 MAIL CODE 61144
HONOLULU HI
96807-1300
US

V. Phone/Fax

Practice location:
  • Phone: 800-781-7237
  • Fax:
Mailing address:
  • Phone: 800-781-7237
  • Fax: 949-417-3111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD-11113
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD-11113
License Number StateHI

VIII. Authorized Official

Name: PAK S. TANG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 800-781-7237