Provider Demographics
NPI:1649840257
Name:TANG, CINDY (MS)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:TANG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 GREEN ST APT 410
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-3689
Mailing Address - Country:US
Mailing Address - Phone:949-572-9660
Mailing Address - Fax:
Practice Address - Street 1:1600 KAPIOLANI BLVD STE 1025
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3806
Practice Address - Country:US
Practice Address - Phone:808-945-2265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-26
Last Update Date:2021-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics