MEDICARE: TIMOTHY CRANE 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
1	207W00000X	Ophthalmology Physician		HI

General Provider Information

NPI Number	:	1568548972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY CRANE M.D.

Provider Business Mailing Address
First Line	:	4463 PAHEE ST
Second Line	:	SUITE 206
City	:	LIHUE
State	:	HI
Zip	:	96766-2000
Country	:	US
Telephone Number	:	808-246-0110
Fax Number	:

Provider Business Practice Location Address
First Line	:	4463 PAHEE ST
Second Line	:	SUITE 206
City	:	LIHUE
State	:	HI
Zip	:	96766-2000
Country	:	US
Telephone Number	:	808-246-0110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1942378989 — TIMOTH B. CRANE, M.D., INC.
Practice Location Address:

4463 PAHEE ST , SUITE #206
LIHUE, HI
96766-2000

Practice Phone: 808-246-0110
Practice Fax:

1306900238 — TIMOTHY B. CRANE, M.D., INC.
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4463 PAHEE ST STE 206
LIHUE, HI
96766-2000

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4463 PAHEE ST STE 206
LIHUE, HI
96766-2000

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1790222677 — KANAYO SAKAI NP
Practice Location Address:

4463 PAHEE ST STE 206
LIHUE, HI
96766-2000

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1629602800 — MR. THEARATH ALAN WU PHARMD
Practice Location Address:

3-2600 KAUMUALII HWY STE 2000
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1083200232 — SAMUEL MAHELONA MEMORIAL HOSPITAL
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