Individual
DR. MALISSA HYUN KYUNG IIDA-TAKASHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
98-1079 MOANALUA RD, STE 500, AIEA, HI 96701-4713
(808) 488-0990
Mailing address
98-1079 MOANALUA RD, STE 500, AIEA, HI 96701-4713
(808) 488-0990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR5282
HI
Other
Enumeration date
06/21/2007
Last updated
09/19/2012
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