Doctors Of Waikiki | |
120 Kaiulani Ave Unit 10&11 Honolulu HI 96815-6203 | |
(808) 922-2112 | |
Not Available |
Full Name | Doctors Of Waikiki |
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Speciality | General Practice |
Location | 120 Kaiulani Ave Unit 10&11, Honolulu, Hawaii |
Authorized Official Name and Position | Alan I Wu (MEDICAL DIRECTOR) |
Authorized Official Contact | 8083767278 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Doctors Of Waikiki 120 Kaiulani Ave Lbby 10&11 Honolulu HI 96815-6203 Ph: (808) 922-2112 | Doctors Of Waikiki 120 Kaiulani Ave Unit 10&11 Honolulu HI 96815-6203 Ph: (808) 922-2112 |
NPI Number | 1366926313 |
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Provider Enumeration Date | 09/15/2018 |
Last Update Date | 08/28/2020 |
Medicare PECOS PAC ID | 7810231834 |
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Medicare Enrollment ID | O20181203001380 |
Identifier | Type | State | Issuer |
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1366926313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Tony N Trpkovski |
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Provider Type | Practitioner - Other (physician) |
Provider Identifiers | NPI Number: 1679678379 PECOS PAC ID: 0840246799 Enrollment ID: I20061218000425 |
Provider Name | Alan I Wu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013116128 PECOS PAC ID: 4880846971 Enrollment ID: I20151005001277 |
Provider Name | Paul Coelho |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1700396124 PECOS PAC ID: 2961761275 Enrollment ID: I20181017001205 |
Provider Name | Mie Takizawa Lilavois |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760954192 PECOS PAC ID: 4880925072 Enrollment ID: I20191021000978 |
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