| Ashlee C. Nekoba, M.d. Llc | |
|
1380 Lusitana St Ste 510 Honolulu HI 96813-2441 | |
| (808) 688-0045 | |
| Not Available |
| Full Name | Ashlee C. Nekoba, M.d. Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1380 Lusitana St Ste 510, Honolulu, Hawaii |
| Authorized Official Name and Position | Ashlee C. Nekoba (MD) |
| Authorized Official Contact | 8086880045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashlee C. Nekoba, M.d. Llc 1380 Lusitana St Ste 510 Honolulu HI 96813-2441 Ph: () - | Ashlee C. Nekoba, M.d. Llc 1380 Lusitana St Ste 510 Honolulu HI 96813-2441 Ph: (808) 688-0045 |
| NPI Number | 1043643760 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 08/16/2013 |
| Medicare PECOS PAC ID | 8527297316 |
|---|---|
| Medicare Enrollment ID | O20140127000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043643760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD15101 (Hawaii) | Primary |
| Provider Name | Ashlee C Nekoba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881899599 PECOS PAC ID: 3678610201 Enrollment ID: I20091029000753 |
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