| Darrell T Natori MD Inc | |
|
1329 Lusitana St Ste 208 Honolulu HI 96813-2411 | |
| (808) 521-6622 | |
| (808) 521-6633 |
| Full Name | Darrell T Natori MD Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1329 Lusitana St Ste 208, Honolulu, Hawaii |
| Authorized Official Name and Position | Darrell Tamotsu Natori (PRESIDENT) |
| Authorized Official Contact | 8085216622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darrell T Natori MD Inc 1329 Lusitana St Ste 208 Honolulu HI 96813-2411 Ph: (808) 521-6622 | Darrell T Natori MD Inc 1329 Lusitana St Ste 208 Honolulu HI 96813-2411 Ph: (808) 521-6622 |
| NPI Number | 1093462103 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093462103 | NPI | - | NPPES |
| 076537 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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