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NPI Code Detail

MEDICARE: DR. TAI-YUAN DAVID LIN MD

MEDICARE: DR. TAI-YUAN DAVID LIN MD
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
1207ZD0900XDermatopathology (Pathology) PhysicianMD13316HI
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD13316HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1255380OTHERHIHMSA

General Provider Information

NPI Number : 1982780367
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAI-YUAN DAVID LIN MD
Provider Business Mailing Address
First Line : 91-2135 FORT WEAVER RD
Second Line : #300
City : EWA BEACH
State : HI
Zip : 96706-1940
Country : US
Telephone Number : 808-677-6218
Fax Number : 808-677-4078
Provider Business Practice Location Address
First Line : 91-2135 FORT WEAVER RD
Second Line : #300
City : EWA BEACH
State : HI
Zip : 96706-1940
Country : US
Telephone Number : 808-677-6218
Fax Number : 808-677-4078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2006
Last Update Date : 09/11/2025

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