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IMUA KAUAI FOOTCARE NPI 1053582429


NPI Information

NPI: 1053582429
Provider Name: IMUA KAUAI FOOTCARE

Doing Business As: HAWAII FOOTCARE

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1028 KINOOLE ST STE 104
HILO, HI
ZIP 96720
Phone: (808) 935-3121
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IMUA KAUAI FOOTCARE is a podiatrist in Hilo, HI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. IMUA KAUAI FOOTCARE NPI is 1053582429. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hawaii Footcare.

The provider's business location address is:

1028 KINOOLE ST STE 104
HILO, HI
ZIP 96720-800
Phone: (808) 935-3121

The provider's authorized official is Rand D Mundo .
The authorized official title is Doctor/owner and has the following contact phone number (808) 935-3121.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPO-105HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14243030001MEDICARE NSCHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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