| Curtis Takemoto-gentile Md Inc | |
|
2658 S King St Honolulu HI 96826-3243 | |
| (808) 955-1544 | |
| (808) 955-5474 |
| Full Name | Curtis Takemoto-gentile Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2658 S King St, Honolulu, Hawaii |
| Authorized Official Name and Position | Curtis Charles Takemoto-gentile (PRESIDENT) |
| Authorized Official Contact | 8089551544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Curtis Takemoto-gentile Md Inc 2658 S King St Honolulu HI 96826-3243 Ph: (808) 955-1544 | Curtis Takemoto-gentile Md Inc 2658 S King St Honolulu HI 96826-3243 Ph: (808) 955-1544 |
| NPI Number | 1558518837 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 07/09/2010 |
| Medicare PECOS PAC ID | 8729135470 |
|---|---|
| Medicare Enrollment ID | O20090415000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558518837 | NPI | - | NPPES |
| 04912501 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6400 (Hawaii) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 6400 (Hawaii) | Primary |
| Provider Name | Curtis C Takemoto- Gentile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831135169 PECOS PAC ID: 5890788681 Enrollment ID: I20040407000259 |
| Provider Name | Krishanna Takemoto-gentile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124435821 PECOS PAC ID: 4284906363 Enrollment ID: I20170824001219 |
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