MAUI KIDNEY CENTER LLC NPI 1770054355

NPI Information

  • NPI: 1770054355
  • Provider Name: MAUI KIDNEY CENTER LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 105 MAUI LANI PKWY
    WAILUKU, HI
    ZIP 96793
  • Phone: (480) 740-2106

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NPI Details

MAUI KIDNEY CENTER LLC is a nephrology internal medicine in Wailuku, HI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MAUI KIDNEY CENTER LLC NPI is 1770054355. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 MAUI LANI PKWY
WAILUKU, HI
ZIP 96793-443
Phone: (480) 740-2106

The provider's authorized official is Antonin Jaros .
The authorized official title is Owner and has the following contact phone number (480) 740-2106.

The enumeration date for this NPI number is 12/7/2018 and was last updated on 4/6/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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