| Doctor Name: | DR. THAN TUN |
| NPI Number: | 1003074386 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD3084 |
| Business Practice Address: | 302 Califorbia Ave # 106 Wahiawa, HI - 967861841 |
| Business Phone Number: | 8086221618 |
| Business Fax Number: | 8086223083 |
| Mailing Address: | 92-831 Makakilo Dr, # 66 KAPOLEI |
| State: | HI |
| Postal Code: | 967074301 |
| Phone Number: | 8087415394 |
| Fax Number: | 8086723699 |
| NPI Enumeration Date: | 05/23/2008 |
| NPI Last Update Date: | 05/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD3084 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |