| Manoa Family Practice | |
|
2103 Dole St Honolulu HI 96822-3316 | |
| (808) 492-6751 | |
| Not Available |
| Full Name | Manoa Family Practice |
|---|---|
| Speciality | Clinic/center |
| Location | 2103 Dole St, Honolulu, Hawaii |
| Authorized Official Name and Position | Keith Knowles (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8084926751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manoa Family Practice 4348 Waialae Ave Ste 769 Honolulu HI 96816-5767 Ph: () - | Manoa Family Practice 2103 Dole St Honolulu HI 96822-3316 Ph: (808) 492-6751 |
| NPI Number | 1811788961 |
|---|---|
| Provider Enumeration Date | 05/16/2025 |
| Last Update Date | 05/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811788961 | NPI | - | NPPES |
| 2668800178 | Medicaid | HI | |
| 1952933855 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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