| Gary S. Inamine, Md, Inc | |
|
1660 South King St Suite 101 Honolulu HI 96826 | |
| (808) 942-5565 | |
| (808) 942-5573 |
| Full Name | Gary S. Inamine, Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1660 South King St, Honolulu, Hawaii |
| Authorized Official Name and Position | Gary S. Inamine (PRESIDENT) |
| Authorized Official Contact | 8089425565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary S. Inamine, Md, Inc 1660 South King St Suite #101 Honolulu HI 96826 Ph: (808) 942-5565 | Gary S. Inamine, Md, Inc 1660 South King St Suite 101 Honolulu HI 96826 Ph: (808) 942-5565 |
| NPI Number | 1518009240 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 04/20/2011 |
| Medicare PECOS PAC ID | 3779769195 |
|---|---|
| Medicare Enrollment ID | O20110519000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518009240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD3797 (Hawaii) | Secondary |
| 207R00000X | Internal Medicine | MD15400 (Hawaii) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 3797 (Hawaii) | Primary |
| Provider Name | Gary S Inamine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013060698 PECOS PAC ID: 4688699606 Enrollment ID: I20051010000316 |
| Provider Name | Nikki P Inamine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780848556 PECOS PAC ID: 0143352294 Enrollment ID: I20110519000840 |
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