| Scott T Kawamoto Md Llc | |
|
550 S Beretania St Suite 514 Honolulu HI 96813-2414 | |
| (808) 523-2911 | |
| Not Available |
| Full Name | Scott T Kawamoto Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 S Beretania St, Honolulu, Hawaii |
| Authorized Official Name and Position | Scott T Kawamoto (SOLE MEMBER) |
| Authorized Official Contact | 8084570477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott T Kawamoto Md Llc 98-640 Puailima St Aiea HI 96701-2231 Ph: (808) 457-0477 | Scott T Kawamoto Md Llc 550 S Beretania St Suite 514 Honolulu HI 96813-2414 Ph: (808) 523-2911 |
| NPI Number | 1972744902 |
|---|---|
| Provider Enumeration Date | 03/21/2009 |
| Last Update Date | 03/21/2009 |
| Medicare PECOS PAC ID | 3072660562 |
|---|---|
| Medicare Enrollment ID | O20090421000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972744902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD-14357 (Hawaii) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | MD-14357 (Hawaii) | Primary |
| Provider Name | Scott T Kawamoto |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245441583 PECOS PAC ID: 4587711072 Enrollment ID: I20090421000324 |
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