MEDICARE: STEPHEN H TENBY MD LTD

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	208000000X	Pediatrics Physician	1638	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0000031682	OTHER		HMSA

General Provider Information

NPI Number	:	1710046891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHEN H TENBY MD LTD

Provider Business Mailing Address
First Line	:	4211 WAIALAE AVE
Second Line	:	SUITE #205
City	:	HONOLULU
State	:	HI
Zip	:	96816-5312
Country	:	US
Telephone Number	:	808-732-2848
Fax Number	:	808-732-2840

Provider Business Practice Location Address
First Line	:	4211 WAIALAE AVE
Second Line	:	SUITE #205
City	:	HONOLULU
State	:	HI
Zip	:	96816-5312
Country	:	US
Telephone Number	:	808-732-2848
Fax Number	:	808-732-2840

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEPHEN HOWARD TENBY
Credential	:	MD
Telephone Number	:	808-732-2848

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	08/22/2020

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