| Eri Shimizu M.d. Llc | |
|
270 Hookahi St Ste 305 Wailuku HI 96793-1466 | |
| (808) 435-6262 | |
| (877) 795-4940 |
| Full Name | Eri Shimizu M.d. Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 270 Hookahi St Ste 305, Wailuku, Hawaii |
| Authorized Official Name and Position | Eri Shimizu (OWNER) |
| Authorized Official Contact | 8085008420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eri Shimizu M.d. Llc 115 Kamaiki Cir Kahului HI 96732-3154 Ph: (808) 500-8420 | Eri Shimizu M.d. Llc 270 Hookahi St Ste 305 Wailuku HI 96793-1466 Ph: (808) 435-6262 |
| NPI Number | 1053035584 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/29/2022 |
| Medicare PECOS PAC ID | 1052787199 |
|---|---|
| Medicare Enrollment ID | O20221014001542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053035584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Eri H Shimizu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063678456 PECOS PAC ID: 6800959644 Enrollment ID: I20101214001142 |
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