Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Mason Glendrange, MD

Individual provider General Practice Physician · NPI 1720731623

Tyler Mason Glendrange, MD is a General Practice Physician in Kailua, Hawaii. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6905 Harris Ave Bldg 6905
Kailua, HI 96734
Phone: (808) 257-3365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101279636 (VA)

Record details

NPI number1720731623
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 31, 2022
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address6905 Harris Ave, Kailua, Hi 96734, Kailua, HI 96734

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