Maui Infectious Diseases Llc | |
85 Maui Lani Pkwy Wailuku HI 96793-2416 | |
(808) 442-5700 | |
(808) 827-2321 |
Full Name | Maui Infectious Diseases Llc |
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Speciality | Internal Medicine |
Location | 85 Maui Lani Pkwy, Wailuku, Hawaii |
Authorized Official Name and Position | James Robert Williams (MEMBER/OWNER) |
Authorized Official Contact | 8084425700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maui Infectious Diseases Llc Po Box 3153 Wailuku HI 96793-8153 Ph: (808) 442-5700 | Maui Infectious Diseases Llc 85 Maui Lani Pkwy Wailuku HI 96793-2416 Ph: (808) 442-5700 |
NPI Number | 1235720541 |
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Provider Enumeration Date | 01/29/2021 |
Last Update Date | 07/03/2024 |
Medicare PECOS PAC ID | 3577970144 |
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Medicare Enrollment ID | O20210326000476 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235720541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | James Williams |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1497753594 PECOS PAC ID: 3779507850 Enrollment ID: I20210326000533 |
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