Organization
HAWAII PREMIER DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAGAI MUSAEV MD (PRESIDENT)
(808) 400-6904
Entity
Organization
Contact information
Practice address
1600 KAPIOLANI BLVD STE 508, HONOLULU, HI 96814-3804
(808) 400-6904
Mailing address
1600 KAPIOLANI BLVD STE 508, HONOLULU, HI 96814-3804
(808) 400-6904
(808) 431-2852
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
07/05/2024
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