Individual
SHAYNE MARK CASTANERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-1079 MOANALUA RD, AIEA, HI 96701-4713
(808) 486-6000
Mailing address
PO BOX 5008, KANEOHE, HI 96744-9008
(808) 254-4670
(808) 254-4670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD6965
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07052002
—
HI
01
—
H0091655
HMSA PROVIDER NUMBER
HI
Enumeration date
07/15/2006
Last updated
07/09/2007
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