Individual
MARK DAVID NISHIHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-1079 MOANALUA RD, SUITE 500, AIEA, HI 96701-4713
(808) 488-0990
(808) 486-4696
Mailing address
98-1079 MOANALUA RD, SUITE 500, AIEA, HI 96701-4713
(808) 488-0990
(808) 486-4696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15074
HI
Other
Enumeration date
05/25/2007
Last updated
02/11/2013
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