Provider Demographics
NPI:1437352622
Name:TROY M. TANJI, M.D., INC.
Entity Type:Organization
Organization Name:TROY M. TANJI, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:M
Authorized Official - Last Name:TANJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-671-3937
Mailing Address - Street 1:94-873 FARRINGTON HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3150
Mailing Address - Country:US
Mailing Address - Phone:808-671-3937
Mailing Address - Fax:808-671-3936
Practice Address - Street 1:94-873 FARRINGTON HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3150
Practice Address - Country:US
Practice Address - Phone:808-671-3937
Practice Address - Fax:808-671-3936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2017-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-8313207W00000X, 207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI077945OtherHMSA
HI077945Medicaid
HI1289740001Medicare NSC
HI077945OtherHMSA
H56376Medicare ID - Type Unspecified