Provider Demographics
NPI:1568704682
Name:FEI, TIMOTHY TIEN-YUAN (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:TIEN-YUAN
Last Name:FEI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:98-1079 MOANALUA ROAD
Mailing Address - Street 2:MEDICAL OFFICE BUILDING, SUITE 300
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-485-4120
Mailing Address - Fax:808-485-3090
Practice Address - Street 1:98-1079 MOANALUA ROAD
Practice Address - Street 2:MEDICAL OFFICE BUILDING, SUITE 300
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-485-4120
Practice Address - Fax:808-485-3090
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD20489207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery