# MICHAEL DARREN BENNETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043274111
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MD10612 | HI | Yes |

## Other

- **Enumeration date:** 04/14/2006
- **Last updated:** 03/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00E0215904 | HMSA WAHIAWA LOC PROV\# | HI |
| 01 | — | 00I0215906 | HMSA KONA LOCATION PROV\# | HI |
| 01 | — | 00K0215901 | HMSA HONOLULU PROV\# | HI |
| 01 | — | 00L0215909 | HMSA QUEENS LOC PROV\# | HI |
| 05 | — | 25205301 | — | HI |
| 05 | — | 25205302 | — | HI |
| 05 | — | 25205304 | — | HI |