| Myles Suehiro, M.d., Inc | |
|
1585 Kapiolani Blvd Suite 1645 Honolulu HI 96814-4522 | |
| (808) 312-1256 | |
| (808) 988-5090 |
| Full Name | Myles Suehiro, M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1585 Kapiolani Blvd, Honolulu, Hawaii |
| Authorized Official Name and Position | Myles Suehiro (OWNER) |
| Authorized Official Contact | 8083725111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myles Suehiro, M.d., Inc 3784 Kumulani Pl Honolulu HI 96822-1112 Ph: (808) 372-5111 | Myles Suehiro, M.d., Inc 1585 Kapiolani Blvd Suite 1645 Honolulu HI 96814-4522 Ph: (808) 312-1256 |
| NPI Number | 1861752875 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 05/23/2012 |
| Medicare PECOS PAC ID | 3072779594 |
|---|---|
| Medicare Enrollment ID | O20120726000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861752875 | NPI | - | NPPES |
| 00L0023501 | Other | HI | HMSA PROVIDER # |
| 021218 | Medicaid | HI |
| Provider Name | Myles Suehiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437371564 PECOS PAC ID: 7214945526 Enrollment ID: I20120726000614 |
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