Avana Health Llc | |
5409 Laipo Rd Kapaa HI 96746-2118 | |
(808) 431-5322 | |
Not Available |
Full Name | Avana Health Llc |
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Speciality | Internal Medicine |
Location | 5409 Laipo Rd, Kapaa, Hawaii |
Authorized Official Name and Position | Ashok Kannan (MEMBER/OWNER/PHYSICIAN) |
Authorized Official Contact | 7046615525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Avana Health Llc Po Box 510083 Kealia HI 96751-0083 Ph: (808) 431-5322 | Avana Health Llc 5409 Laipo Rd Kapaa HI 96746-2118 Ph: (808) 431-5322 |
NPI Number | 1952045536 |
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Provider Enumeration Date | 04/21/2022 |
Last Update Date | 09/13/2022 |
Medicare PECOS PAC ID | 3971984626 |
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Medicare Enrollment ID | O20220713001313 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952045536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Ashok Kannan |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1245767318 PECOS PAC ID: 2163765710 Enrollment ID: I20220713001483 |
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