Ohana Foot & Ankle Specialist | |
1245 Kuala St Ste 102a, Pearl City, HI 96782-3900 | |
(808) 726-2161 | |
(808) 726-2163 |
Full Name | Ohana Foot & Ankle Specialist |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1245 Kuala St Ste 102a, Pearl City, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497476188 | NPI | - | NPPES |
PO-196 | Other | HI | MD LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | Liane J Watanabe |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1750680369 PECOS PAC ID: 0446479380 Enrollment ID: I20150611001979 |
Mailing Address | Practice Location Address |
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Ohana Foot & Ankle Specialist 1245 Kuala St Ste 102a, Pearl City, HI 96782-3900 Ph: (808) 726-2161 | Ohana Foot & Ankle Specialist 1245 Kuala St Ste 102a, Pearl City, HI 96782-3900 Ph: (808) 726-2161 |
Hawaii Podiatry Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1245 Kuala St, Suite 102a, Pearl City, HI 96782 Phone: 808-726-2161 Fax: 808-726-2161 | |
Liane Junko Watanabe, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1245 Kuala St Ste 102a, Pearl City, HI 96782 Phone: 808-726-2161 Fax: 808-726-2163 |