| Stephen K. Miyasato M.d., Inc. | |
|
99-128 Aiea Heights Drive Suite 105 Aiea HI 96701-3916 | |
| (808) 487-9922 | |
| (808) 483-6841 |
| Full Name | Stephen K. Miyasato M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 99-128 Aiea Heights Drive, Aiea, Hawaii |
| Authorized Official Name and Position | Stephen Ken Miyasato (PRESIDENT) |
| Authorized Official Contact | 8084879922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen K. Miyasato M.d., Inc. 99-128 Aiea Heights Drive Suite 105 Aiea HI 96701-3916 Ph: (808) 487-9922 | Stephen K. Miyasato M.d., Inc. 99-128 Aiea Heights Drive Suite 105 Aiea HI 96701-3916 Ph: (808) 487-9922 |
| NPI Number | 1457650772 |
|---|---|
| Provider Enumeration Date | 03/25/2011 |
| Last Update Date | 03/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457650772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD4730 (Hawaii) | Primary |
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