Individual
DR. DAMIEN KEKANEINOA TAVARES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2226 LILIHA STREET, SUITE 407, HONOLULU, HI 96817-1600
(808) 445-9172
(808) 445-9182
Mailing address
2226 LILIHA STREET, SUITE 407, HONOLULU, HI 96817-1600
(808) 445-9172
(808) 445-9182
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD15987
HI
208VP0014X
Interventional Pain Medicine Physician
Primary
MD15987
HI
Other
Enumeration date
06/22/2007
Last updated
07/27/2015
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