Kinue Miki Md Llc | |
1585 Kapiolani Blvd Suite 1800 Honolulu HI 96814-4500 | |
(808) 941-3363 | |
(808) 949-0483 |
Full Name | Kinue Miki Md Llc |
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Speciality | Internal Medicine |
Location | 1585 Kapiolani Blvd, Honolulu, Hawaii |
Authorized Official Name and Position | Kinue Miki (PRESIDENT/OWNER) |
Authorized Official Contact | 8085361300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kinue Miki Md Llc 2228 Liliha Street Suite 300 Honolulu HI 96817-1653 Ph: (808) 536-1300 | Kinue Miki Md Llc 1585 Kapiolani Blvd Suite 1800 Honolulu HI 96814-4500 Ph: (808) 941-3363 |
NPI Number | 1912326042 |
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Provider Enumeration Date | 04/16/2014 |
Last Update Date | 04/16/2014 |
Medicare PECOS PAC ID | 2961628664 |
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Medicare Enrollment ID | O20140731002126 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912326042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD 7370 (Hawaii) | Primary |
Provider Name | Kinue I Miki |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174660682 PECOS PAC ID: 0042101636 Enrollment ID: I20120416000191 |
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