| Central Medical Clinic Inc | |
|
321 N. Kuakini St. Suite #201 Honolulu HI 96817-2399 | |
| (808) 523-8611 | |
| Not Available |
| Full Name | Central Medical Clinic Inc |
|---|---|
| Speciality | Surgery |
| Location | 321 N. Kuakini St., Honolulu, Hawaii |
| Authorized Official Name and Position | Keith Katano (ADMINISTRATOR) |
| Authorized Official Contact | 8085668187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Medical Clinic Inc 321 N. Kuakini St. Suite #201 Honolulu HI 96817-2399 Ph: (808) 523-8611 | Central Medical Clinic Inc 321 N. Kuakini St. Suite #201 Honolulu HI 96817-2399 Ph: (808) 523-8611 |
| NPI Number | 1003905944 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3173506805 |
|---|---|
| Medicare Enrollment ID | O20040611001096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003905944 | NPI | - | NPPES |
| Provider Name | Racquel Smith Bueno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548480742 PECOS PAC ID: 4880592047 Enrollment ID: I20070906000242 |
| Provider Name | Myron Ekaku Shirasu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316035900 PECOS PAC ID: 0547214793 Enrollment ID: I20100330000328 |
| Provider Name | Eliot Nobuo Tomomitsu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003904749 PECOS PAC ID: 6800840059 Enrollment ID: I20100330000650 |
| Provider Name | Anthony Paul Siu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629166368 PECOS PAC ID: 1456305606 Enrollment ID: I20100331000159 |
| Provider Name | Stephen Oishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194813832 PECOS PAC ID: 6901850155 Enrollment ID: I20100331000475 |
| Provider Name | Rae Nagao Teramoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487742128 PECOS PAC ID: 2365496510 Enrollment ID: I20100331000906 |
| Provider Name | Owen Denji Kaneshiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043308620 PECOS PAC ID: 4284688433 Enrollment ID: I20100405000506 |
| Provider Name | Michael Hisashi Nagoshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407945116 PECOS PAC ID: 3274587423 Enrollment ID: I20100420000633 |
| Provider Name | Michael Ishioka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811085400 PECOS PAC ID: 2567416704 Enrollment ID: I20100421000650 |
| Provider Name | Mark Miki Mugiishi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295823789 PECOS PAC ID: 1557315702 Enrollment ID: I20100527000224 |
| Provider Name | Arlene C Baldillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124234331 PECOS PAC ID: 4183758659 Enrollment ID: I20100819000307 |
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