Provider Demographics
NPI:1396587556
Name:TAMURA, PETER (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:TAMURA
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:PALI MOMI MEDICAL CENTER 98-1005 MOANALUA ROAD
Mailing Address - Street 2:SUITE #3030
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PALI MOMI MEDICAL CENTER 98-1005 MOANALUA ROAD
Practice Address - Street 2:SUITE #3030
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-627-3254
Practice Address - Fax:808-627-3265
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMDR-8790207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine