LYNN DEREK MADANAY NPI 1225135908

NPI Information

Lynn Derek Madanay is a nuclear imaging and therapy nuclear medicine in Honolulu, HI. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. Lynn Derek Madanay NPI is 1225135908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

347 N KUAKINI ST
KUAKINI MEDICAL CENTER DEPARTMENT OF NUCLEAR MEDICINE
HONOLULU, HI
ZIP 96817-336
Phone: (808) 547-9549
Fax: (808) 547-9554

The NPI 1225135908 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 5/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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