| Byron G. Young M.d. Inc | |
|
1109 Young St Suite 104 Honolulu HI 96814-1990 | |
| (808) 589-1777 | |
| Not Available |
| Full Name | Byron G. Young M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1109 Young St, Honolulu, Hawaii |
| Authorized Official Name and Position | Byron Goon Neu Young (PRESIDENT) |
| Authorized Official Contact | 8085891777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Byron G. Young M.d. Inc 1109 Young St Suite 104 Honolulu HI 96814-1990 Ph: (808) 589-1777 | Byron G. Young M.d. Inc 1109 Young St Suite 104 Honolulu HI 96814-1990 Ph: (808) 589-1777 |
| NPI Number | 1629123138 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6901041870 |
|---|---|
| Medicare Enrollment ID | O20130325000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629123138 | NPI | - | NPPES |
| 034902 01 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD2553 (Hawaii) | Primary |
| Provider Name | Byron G Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104971688 PECOS PAC ID: 8921033952 Enrollment ID: I20050928001221 |
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