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ISLAND UROLOGY HONOLULU LLC NPI 1962683052


NPI Information

NPI: 1962683052
Provider Name: ISLAND UROLOGY HONOLULU LLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 12D2086052

Address:
1329 LUSITANA ST
SUITE 602
HONOLULU, HI
ZIP 96813
Phone: (808) 522-5055
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ISLAND UROLOGY HONOLULU LLC is an urology in Honolulu, HI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ISLAND UROLOGY HONOLULU LLC NPI is 1962683052. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1329 LUSITANA ST
SUITE 602
HONOLULU, HI
ZIP 96813-429
Phone: (808) 522-5055
Fax: (808) 522-5333

The provider's authorized official is Marilynn Y Hata .
The authorized official title is Administrator and has the following contact phone number (808) 522-5055.

The CLIA number assigned to this NPI record is 12D2086052 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2007 and was last updated on 12/8/2009.


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
1208800000XUrologyYes

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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