# MICHAEL J DIMITRION MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508877192
- **Authorized official:** JEANNETTE T TAJIRI (OFFICE MANAGER)
- **Authorized official phone:** (808) 488-7770

## Contact information

- **Practice address:** 98-1079 MOANALUA ROAD, SUITE 420, AIEA, HI 96701
- **Practice address phone:** (808) 488-7770
- **Practice address fax:** (808) 487-0104
- **Mailing address:** 98-1079 MOANALUA ROAD, SUITE 420, AIEA, HI 96701
- **Mailing address phone:** (808) 488-7770
- **Mailing address fax:** (808) 487-0104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 06/23/2011