MEDICARE: DR. LINDA ANN SIU-HOONE TOM 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	174400000X	Specialist	7437	HI

General Provider Information

NPI Number	:	1770651853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA ANN SIU-HOONE TOM M.D.

Provider Business Mailing Address
First Line	:	3675 KILAUEA AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-2333
Country	:	US
Telephone Number	:	808-733-7911
Fax Number	:	808-456-3153

Provider Business Practice Location Address
First Line	:	3675 KILAUEA AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-2333
Country	:	US
Telephone Number	:	808-456-3153
Fax Number	:

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

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	03/08/2018

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