| Internal Medicine Honolulu Llc | |
|
405 N Kuakini St Suite 1011 Honolulu HI 96817-6300 | |
| (808) 596-7791 | |
| (808) 440-2255 |
| Full Name | Internal Medicine Honolulu Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 405 N Kuakini St, Honolulu, Hawaii |
| Authorized Official Name and Position | Travis Hideki Nakamura (OWNER) |
| Authorized Official Contact | 8085967791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Honolulu Llc 405 N Kuakini St Suite 1011 Honolulu HI 96817-6300 Ph: (808) 596-7791 | Internal Medicine Honolulu Llc 405 N Kuakini St Suite 1011 Honolulu HI 96817-6300 Ph: (808) 596-7791 |
| NPI Number | 1598024630 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 08/08/2012 |
| Medicare PECOS PAC ID | 3476717844 |
|---|---|
| Medicare Enrollment ID | O20120614000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598024630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD 12774 (Hawaii) | Primary |
| Provider Name | Travis H Nakamura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669560306 PECOS PAC ID: 8729003793 Enrollment ID: I20051008000154 |
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