| Marc R. Miyasaki M.d. Inc. | |
|
550 S Beretania St Suite 605 Honolulu HI 96813-2414 | |
| (808) 548-2100 | |
| Not Available |
| Full Name | Marc R. Miyasaki M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 S Beretania St, Honolulu, Hawaii |
| Authorized Official Name and Position | Marc Robert Miyasaki (PHYSICIAN) |
| Authorized Official Contact | 8082266853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc R. Miyasaki M.d. Inc. 550 S Beretania St Suite 605 Honolulu HI 96813-2414 Ph: () - | Marc R. Miyasaki M.d. Inc. 550 S Beretania St Suite 605 Honolulu HI 96813-2414 Ph: (808) 548-2100 |
| NPI Number | 1053562132 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Medicare PECOS PAC ID | 8325199540 |
|---|---|
| Medicare Enrollment ID | O20090630000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053562132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Hawaii) | Primary |
| 208000000X | Pediatrics | (Hawaii) | Secondary |
| Provider Name | Marc R Miyasaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760644389 PECOS PAC ID: 6204907967 Enrollment ID: I20080624000358 |
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