| John J Koo MD Inc | |
|
640 Ulukahiki St Kailua HI 96734-4454 | |
| (808) 263-5500 | |
| Not Available |
| Full Name | John J Koo MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 Ulukahiki St, Kailua, Hawaii |
| Authorized Official Name and Position | John J Koo (OWNER) |
| Authorized Official Contact | 8083521981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Koo MD Inc Po Box 25490 Honolulu HI 96825-0490 Ph: (808) 536-0300 | John J Koo MD Inc 640 Ulukahiki St Kailua HI 96734-4454 Ph: (808) 263-5500 |
| NPI Number | 1275826307 |
|---|---|
| Provider Enumeration Date | 05/23/2011 |
| Last Update Date | 05/23/2011 |
| Medicare PECOS PAC ID | 7517135304 |
|---|---|
| Medicare Enrollment ID | O20110721000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275826307 | NPI | - | NPPES |
| 591041 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD-14092 (Hawaii) | Primary |
| 208M00000X | Hospitalist | MD-14092 (Hawaii) | Secondary |
| Provider Name | John J Koo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477617561 PECOS PAC ID: 8325141617 Enrollment ID: I20070306000631 |
Castle Physician Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 Aulike St, Kailua, HI 96734 Phone: 808-263-5011 |
Midpacific Hospitalists LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 Uluniu St Fl 4, Kailua, HI 96734 Phone: 808-261-3326 |
Windward Digestive Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 Ulukahiki St, Suite 302, Kailua, HI 96734 Phone: 808-440-6789 Fax: 808-440-6777 |
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About Face Kailua, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 Phone: 808-343-6341 Fax: 808-443-0297 |
Christian W. Boyens, M.D. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Aulike Street, Suite # 217, Kailua, HI 96734 Phone: 808-263-1330 Fax: 808-263-1335 |