# INNOVATION MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samsami MD LLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225352966
- **Authorized official:** MRS. ELIZABETH SAMSAMI (MEDICAL OFFICE MANAGER)
- **Authorized official phone:** (808) 387-0911

## Contact information

- **Practice address:** 45-1151 KAMEHAMEHA HWY STE C, KANEOHE, HI 96744-3211
- **Practice address phone:** (808) 247-7770
- **Practice address fax:** (808) 247-7799
- **Mailing address:** 45-1151 KAMEHAMEHA HWY STE C, KANEOHE, HI 96744-3211
- **Mailing address phone:** (808) 247-7770
- **Mailing address fax:** (808) 247-7799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD13057 | HI | Yes |

## Other

- **Enumeration date:** 03/24/2010
- **Last updated:** 02/18/2020