Provider Demographics
NPI:1083778443
Name:TTNYD&D OB/GYN INC
Entity Type:Organization
Organization Name:TTNYD&D OB/GYN INC
Other - Org Name:NATORI, TERUYA, TANOUE, NAKASONE AND YOSHINO MD INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATIVE PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:EIICHI
Authorized Official - Last Name:TANOUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-599-4200
Mailing Address - Street 1:1329 LUSITANA STREET, STE B2
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2401
Mailing Address - Country:US
Mailing Address - Phone:808-599-4200
Mailing Address - Fax:808-599-4300
Practice Address - Street 1:1329 LUSITANA STREET, STE B2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2401
Practice Address - Country:US
Practice Address - Phone:808-599-4200
Practice Address - Fax:808-599-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIHNTT002Medicare PIN
HIHNTT001Medicare PIN