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KEITH T MATSUMOTO MD INC NPI 1659454635


NPI Information

NPI: 1659454635
Provider Name: KEITH T MATSUMOTO MD INC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1319 PUNAHOU ST
SUITE 900
HONOLULU, HI
ZIP 96826
Phone: (808) 949-0011
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KEITH T MATSUMOTO MD INC is a pediatrics in Honolulu, HI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. KEITH T MATSUMOTO MD INC NPI is 1659454635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1319 PUNAHOU ST
SUITE 900
HONOLULU, HI
ZIP 96826-032
Phone: (808) 949-0011
Fax: (808) 943-2536

The provider's authorized official is Keith Tsugio Matsumoto .
The authorized official title is President and has the following contact phone number (808) 949-0011.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 6/19/2014.


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
1208000000XPediatrics4464HAWAIIYes

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
100D0011215OTHERHMSA
2=========OTHERHAWAII LABORERS
3194670OTHERHMN
4=========OTHERUHA
500D0011215OTHERHMSA QUEST
6MD446401OTHERQUEENS HEALTH CARE
700D0011215MEDICARE UPIN
801076801MEDICAIDHAWAII

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

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