| Alan C Desilva Md Inc | |
|
1248 Kinoole St Ste 107 Hilo HI 96720-4171 | |
| (808) 935-6888 | |
| (808) 961-0889 |
| Full Name | Alan C Desilva Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1248 Kinoole St Ste 107, Hilo, Hawaii |
| Authorized Official Name and Position | Alan C Desilva (PHYSICIAN) |
| Authorized Official Contact | 8089356888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan C Desilva Md Inc 1248 Kinoole St Ste 107 Hilo HI 96720-4171 Ph: (808) 935-6888 | Alan C Desilva Md Inc 1248 Kinoole St Ste 107 Hilo HI 96720-4171 Ph: (808) 935-6888 |
| NPI Number | 1720247828 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 05/22/2019 |
| Medicare PECOS PAC ID | 6204909815 |
|---|---|
| Medicare Enrollment ID | O20080715000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720247828 | NPI | - | NPPES |
| 040479-01 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3482 (Hawaii) | Primary |
| Provider Name | Alan C Desilva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790885994 PECOS PAC ID: 8224063409 Enrollment ID: I20050927001369 |
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