Organization
TAKESHI KISHIDA, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKESHI KISHIDA M.D. (PRESIDENT)
(808) 536-5094
Entity
Organization
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 538-9011
Mailing address
P.O.BOX 61011, HONOLULU, HI 96839-2395
(808) 735-9093
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-2362
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-2362
STATE LICENSE
HI
Enumeration date
05/05/2014
Last updated
05/05/2014
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