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KAILUA DERMATOLOGY & ASSOCIATES LTD NPI 1639229008


NPI Information

NPI: 1639229008
Provider Name: KAILUA DERMATOLOGY & ASSOCIATES LTD
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 12D0682038

Address:
40 AULIKE ST
SUITE 311
KAILUA, HI
ZIP 96734
Phone: (808) 261-6133
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KAILUA DERMATOLOGY & ASSOCIATES LTD is a dermatology in Kailua, HI. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. KAILUA DERMATOLOGY & ASSOCIATES LTD NPI is 1639229008. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

40 AULIKE ST
SUITE 311
KAILUA, HI
ZIP 96734-758
Phone: (808) 261-6133
Fax: (808) 262-9222

The provider's authorized official is Philip David Hellreich .
The authorized official title is President and has the following contact phone number (808) 261-6133.

The CLIA number assigned to this NPI record is 12D0682038 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/10/2007 and was last updated on 8/22/2020.


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
1207N00000XDermatology2088HAWAIIYes

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
1MD2088OTHERHAWAIIQHCP MDX
2A3463 5OTHERHAWAIIHMSA HMO KANEOHE
3MD2088 02OTHERHAWAIIQHCP MDX
4X34632OTHERHAWAIIHMSA BCBS
5191661OTHERHAWAIIHIEL
603119501MEDICAIDHAWAII

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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