| Insulinic | |
|
1360 S Beretania St Honolulu HI 96814-1520 | |
| (808) 543-6438 | |
| Not Available |
| Full Name | Insulinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1360 S Beretania St, Honolulu, Hawaii |
| Authorized Official Name and Position | Marc Pierre Desgraves (CEO) |
| Authorized Official Contact | 8082104444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insulinic 1360 S Beretania St Ste 500 Honolulu HI 96814-1520 Ph: (808) 210-4444 | Insulinic 1360 S Beretania St Honolulu HI 96814-1520 Ph: (808) 543-6438 |
| NPI Number | 1669102612 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/28/2023 |
| Medicare PECOS PAC ID | 1456720846 |
|---|---|
| Medicare Enrollment ID | O20221206003143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669102612 | NPI | - | NPPES |
| Provider Name | Richard A Ridao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730122060 PECOS PAC ID: 6507889839 Enrollment ID: I20060112000315 |
| Provider Name | Grace G Schonhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700187523 PECOS PAC ID: 4486816113 Enrollment ID: I20120425000675 |
| Provider Name | Kathy T Daotay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861843989 PECOS PAC ID: 6507159605 Enrollment ID: I20230208002986 |
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