Dr Agnela Teresa Isaias, MD | |
99-128 Aiea Heights Dr Ste 211, Aiea, HI 96701-3972 | |
(808) 488-8441 | |
Not Available |
Full Name | Dr Agnela Teresa Isaias |
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Gender | Female |
Speciality | Pediatrics |
Location | 99-128 Aiea Heights Dr Ste 211, Aiea, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790772572 | NPI | - | NPPES |
051524720 | Other | AL | BCBS PROVIDER NUMBER |
009971875 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD-23703 (Hawaii) | Primary |
208000000X | Pediatrics | 82912 (California) | Secondary |
Entity Name | Community Health Centers Of The Central Coast Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
Mailing Address | Practice Location Address |
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Dr Agnela Teresa Isaias, MD 3779 Kumulani Pl, Honolulu, HI 96822-1113 Ph: (858) 472-9950 | Dr Agnela Teresa Isaias, MD 99-128 Aiea Heights Dr Ste 211, Aiea, HI 96701-3972 Ph: (808) 488-8441 |
Dr. Kenn Saruwatari, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 98-151 Pali Momi St, Suite 142, Aiea, HI 96701 Phone: 808-483-6400 Fax: 808-483-6082 | |
Stephen Shigeo Yano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 99-128 Aiea Heights Dr, #211, Aiea, HI 96701 Phone: 808-488-8441 Fax: 808-487-2003 | |
Yoshio Futatsugi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 99-128 Aiea Heights Dr, Suite 108, Aiea, HI 96701 Phone: 808-488-6846 | |
Dr. Brent Koichi Tamamoto, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 99-080 Kauhale St, Suite C-22, Aiea, HI 96701 Phone: 808-487-1600 Fax: 808-487-1601 | |
Dr. Vanessa Hisa Fidele, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 98 211 Pali Momi St, Suite 618, Aiea, HI 96701 Phone: 808-486-7799 | |
Brandon D Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 99-128 Aiea Heights Dr, Ste 211, Aiea, HI 96701 Phone: 808-488-8441 Fax: 808-200-3790 | |
Dr. Vernon M Azuma, MD,FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 99-128 Aiea Heights Dr, Suite 211, Aiea, HI 96701 Phone: 808-488-8441 |