| Keith K Woo Md Llc | |
|
1520 Liliha St 205 Honolulu HI 96817-3562 | |
| (808) 523-9955 | |
| (808) 523-0411 |
| Full Name | Keith K Woo Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1520 Liliha St, Honolulu, Hawaii |
| Authorized Official Name and Position | Keith K Woo (OWNER) |
| Authorized Official Contact | 8085239955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith K Woo Md Llc 1520 Liliha St 205 Honolulu HI 96817-3562 Ph: (808) 523-9955 | Keith K Woo Md Llc 1520 Liliha St 205 Honolulu HI 96817-3562 Ph: (808) 523-9955 |
| NPI Number | 1609050699 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Medicare PECOS PAC ID | 9638152648 |
|---|---|
| Medicare Enrollment ID | O20040610001160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609050699 | NPI | - | NPPES |
| 50038101 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD10503 (Hawaii) | Primary |
| Provider Name | Keith K Woo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366595092 PECOS PAC ID: 3971586991 Enrollment ID: I20040611000017 |
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