| Royce Shimamoto Md Llc | |
|
347 N Kuakini St Honolulu HI 96817-2336 | |
| (808) 547-9789 | |
| Not Available |
| Full Name | Royce Shimamoto Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 347 N Kuakini St, Honolulu, Hawaii |
| Authorized Official Name and Position | Royce T Shimamoto (OWNER) |
| Authorized Official Contact | 8082217083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royce Shimamoto Md Llc Po Box 25370 Honolulu HI 96825-0370 Ph: (808) 536-0300 | Royce Shimamoto Md Llc 347 N Kuakini St Honolulu HI 96817-2336 Ph: (808) 547-9789 |
| NPI Number | 1295993202 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 04/16/2022 |
| Medicare PECOS PAC ID | 1850464207 |
|---|---|
| Medicare Enrollment ID | O20080718000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295993202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12570 (Hawaii) | Primary |
| Provider Name | Royce T Shimamoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457469470 PECOS PAC ID: 1850331133 Enrollment ID: I20050505000769 |
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