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Individual

DR. TIMOTHY H. HAGINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
74-517 HONOKOHAU ST, KAILUA KONA, HI 96740-2715
(808) 334-4400
Mailing address
600 ALA MOANA BLVD APT 407, HONOLULU, HI 96813-4943
(808) 486-4144

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD6994
HI
207N00000X
Dermatology Physician
Primary
MD-6994
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C0065767
HMSA BILLING NUMBER
HI
05
057111-01
HI
Enumeration date
09/25/2006
Last updated
03/18/2024
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