| The Family Doctor | |
|
1001 Kamokila Blvd Ste 181 Kapolei HI 96707-2090 | |
| (808) 375-7445 | |
| Not Available |
| Full Name | The Family Doctor |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 Kamokila Blvd Ste 181, Kapolei, Hawaii |
| Authorized Official Name and Position | Graeme Reed (OWNER) |
| Authorized Official Contact | 9095331886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Doctor 1164 Bishop St # 124-445 Honolulu HI 96813-2810 Ph: () - | The Family Doctor 1001 Kamokila Blvd Ste 181 Kapolei HI 96707-2090 Ph: (808) 375-7445 |
| NPI Number | 1609166537 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 04/12/2011 |
| Medicare PECOS PAC ID | 4880870294 |
|---|---|
| Medicare Enrollment ID | O20110805000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609166537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD15499 (Hawaii) | Primary |
| Provider Name | Graeme A Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609105162 PECOS PAC ID: 2365611456 Enrollment ID: I20110805000522 |
Keiki Korner Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Kamokila Blvd, Suite 197, Kapolei, HI 96707 Phone: 808-674-9600 Fax: 808-674-9700 | |
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