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MAUI MEDICAL GROUP INC NPI 1215963970


NPI Information

NPI: 1215963970
Provider Name: MAUI MEDICAL GROUP INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 12D0871650

Address:
2180 MAIN ST
WAILUKU, HI
ZIP 96793
Phone: (808) 242-6464
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MAUI MEDICAL GROUP INC is an internal medicine in Wailuku, HI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MAUI MEDICAL GROUP INC NPI is 1215963970. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2180 MAIN ST
WAILUKU, HI
ZIP 96793-625
Phone: (808) 242-6464
Fax: (808) 242-4292

The provider's authorized official is Clifford Alakai .
The authorized official title is Administrator and has the following contact phone number (808) 242-4216.

The CLIA number assigned to this NPI record is 12D0871650 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/24/2006 and was last updated on 8/9/2017.


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
1111N00000XChiropractorNo
2207N00000XDermatologyNo
3207Q00000XFamily MedicineNo
4207RH0003XInternal MedicineHematology & OncologyNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6207V00000XObstetrics & GynecologyNo
7207W00000XOphthalmologyNo
8207X00000XOrthopaedic SurgeryNo
9207Y00000XOtolaryngologyNo
10208000000XPediatricsNo
112085R0202XRadiologyDiagnostic RadiologyNo
12208600000XSurgeryNo
13208D00000XGeneral PracticeNo
14213E00000XPodiatristNo
15207R00000XInternal MedicineYes

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
1HMAUIMED70MEDICARE UPINHAWAII
20770090001MEDICARE 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.