Provider Demographics
NPI:1528815149
Name:THI, ANDREA S (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:S
Last Name:THI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1356 LUSITANA ST FL 6
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2409
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1356 LUSITANA ST FL 6
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2409
Practice Address - Country:US
Practice Address - Phone:808-586-2920
Practice Address - Fax:808-586-3022
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMDR-8728208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery