Provider Demographics
NPI:1356502553
Name:TAMURA, KRISTEN P (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:P
Last Name:TAMURA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:85 MAUI LANI PKWY
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2416
Mailing Address - Country:US
Mailing Address - Phone:808-442-5700
Mailing Address - Fax:855-827-2321
Practice Address - Street 1:175 N JACKSON AVE STE 103
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1909
Practice Address - Country:US
Practice Address - Phone:408-272-1600
Practice Address - Fax:408-604-0173
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2021-05-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA114723207R00000X
HIMD19906207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine