Organization
GEORGE SHIMOMURA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE SHIMOMURA MD (PRESIDENT)
(808) 487-2497
Entity
Organization
Contact information
Practice address
99-128 AIEA HEIGHTS DRIVE, SUITE 504, AIEA, HI 96701-3938
(808) 487-2497
(808) 487-2494
Mailing address
99-128 AIEA HEIGHTS DRIVE, SUITE 504, AIEA, HI 96701-3938
(808) 487-2497
(808) 487-2494
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD1578
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995201
—
HI
01
—
33340
HAWAII MEDICAL SERVICE AS
HI
Enumeration date
04/30/2007
Last updated
08/22/2020
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