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BRIAN I. WATANABE M.D. INC. NPI 1194975516


NPI Information

NPI: 1194975516
Provider Name: BRIAN I. WATANABE, M.D., INC.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1885 MAIN ST
SUITE 205
WAILUKU, HI
ZIP 96793
Phone: (808) 244-6776
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BRIAN I. WATANABE, M.D., INC. is a vascular surgery surgery in Wailuku, HI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. BRIAN I. WATANABE, M.D., INC. NPI is 1194975516. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1885 MAIN ST
SUITE 205
WAILUKU, HI
ZIP 96793-819
Phone: (808) 244-6776
Fax: (808) 244-6005

The provider's authorized official is Brian I. Watanabe .
The authorized official title is President / Owner and has the following contact phone number (808) 244-6776.

The enumeration date for this NPI number is 9/22/2008 and was last updated on 9/22/2008.


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
1208600000XSurgeryMD-7581HAWAIINo
22086S0129XSurgeryVascular SurgeryMD-7581HAWAIIYes

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
1OOG834232MEDICAIDCALIFORNIA
2G49201MEDICARE UPIN
3G83423-AMEDICARE PIN

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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