| Neal T Shimoda M D Inc | |
|
321 N Kuakini St Ste 503 Honolulu HI 96817-2390 | |
| (808) 521-9584 | |
| (808) 521-9587 |
| Full Name | Neal T Shimoda M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 321 N Kuakini St Ste 503, Honolulu, Hawaii |
| Authorized Official Name and Position | Neal T. Shimoda (PRESIDENT) |
| Authorized Official Contact | 8085219584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neal T Shimoda M D Inc 321 N Kuakini St Ste 503 Honolulu HI 96817-2390 Ph: (808) 521-9584 | Neal T Shimoda M D Inc 321 N Kuakini St Ste 503 Honolulu HI 96817-2390 Ph: (808) 521-9584 |
| NPI Number | 1871618561 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 09/03/2009 |
| Medicare PECOS PAC ID | 3375698061 |
|---|---|
| Medicare Enrollment ID | O20090901000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871618561 | NPI | - | NPPES |
| 0000235259 | Other | HI | HMSA GROUP NUMBER |
| 03563901 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Neal T Shimoda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326024852 PECOS PAC ID: 2668527359 Enrollment ID: I20090901000649 |
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