1851721765 NPI number — THOMAS AU MD INC

Table of content: (NPI 1851721765)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851721765 NPI number — THOMAS AU MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THOMAS AU MD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851721765
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
321 N KUAKINI STREET
Provider Second Line Business Mailing Address:
SUITE 807
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96817-2395
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-521-3885
Provider Business Mailing Address Fax Number:
808-521-3029

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
321 N KUAKINI ST
Provider Second Line Business Practice Location Address:
SUITE 807
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-2364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-521-3885
Provider Business Practice Location Address Fax Number:
808-531-3029
Provider Enumeration Date:
11/14/2013

Additional Information

Authorized Official

Authorized Official Last Name:
AU
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
808-521-3885

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD 3829 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 575583882 . This is a "UHA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 495327 . This is a "OHANA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 0000049494 . This is a "HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: MD3829 . This is a "MDX HAWAII" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 04428501 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".




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