Royce Shimamoto Md Llc | |
347 N Kuakini St Honolulu HI 96817-2336 | |
(808) 547-9789 | |
Not Available |
Full Name | Royce Shimamoto Md Llc |
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Speciality | Internal Medicine |
Location | 347 N Kuakini St, Honolulu, Hawaii |
Authorized Official Name and Position | Royce T Shimamoto (OWNER) |
Authorized Official Contact | 8082217083 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Royce Shimamoto Md Llc Po Box 25370 Honolulu HI 96825-0370 Ph: (808) 536-0300 | Royce Shimamoto Md Llc 347 N Kuakini St Honolulu HI 96817-2336 Ph: (808) 547-9789 |
NPI Number | 1295993202 |
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Provider Enumeration Date | 05/27/2008 |
Last Update Date | 04/16/2022 |
Medicare PECOS PAC ID | 1850464207 |
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Medicare Enrollment ID | O20080718000336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295993202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 12570 (Hawaii) | Primary |
Provider Name | Royce T Shimamoto |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457469470 PECOS PAC ID: 1850331133 Enrollment ID: I20050505000769 |
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