| Jason M Laird, Md Llc | |
|
1029 Kapahulu Ave Ste 309 Honolulu HI 96816-1332 | |
| (808) 568-0160 | |
| (808) 568-0160 |
| Full Name | Jason M Laird, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1029 Kapahulu Ave Ste 309, Honolulu, Hawaii |
| Authorized Official Name and Position | Jason M Laird (OWNER) |
| Authorized Official Contact | 8085680160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason M Laird, Md Llc Po Box 8418 Honolulu HI 96830-0418 Ph: (808) 568-0160 | Jason M Laird, Md Llc 1029 Kapahulu Ave Ste 309 Honolulu HI 96816-1332 Ph: (808) 568-0160 |
| NPI Number | 1720322175 |
|---|---|
| Provider Enumeration Date | 11/23/2012 |
| Last Update Date | 03/05/2021 |
| Medicare PECOS PAC ID | 9830334812 |
|---|---|
| Medicare Enrollment ID | O20130321000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720322175 | NPI | - | NPPES |
| 194088 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14291 (Hawaii) | Primary |
| Provider Name | Jason M Laird |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114009081 PECOS PAC ID: 4082508155 Enrollment ID: I20070713000444 |
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