Individual
TAKESHI KISHIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2033 NUUANU AVE APT 27B, HONOLULU, HI 96817-2532
(808) 735-9093
Mailing address
PO BOX 11779, HONOLULU, HI 96828-0779
(808) 735-9093
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD2362
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03346101
—
HI
Enumeration date
11/02/2006
Last updated
07/08/2007
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