Organization
INNOVATION MD LLC
Active
Other names
Samsami MD LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH SAMSAMI (MEDICAL OFFICE MANAGER)
(808) 387-0911
Entity
Organization
Contact information
Practice address
45-1151 KAMEHAMEHA HWY STE C, KANEOHE, HI 96744-3211
(808) 247-7770
(808) 247-7799
Mailing address
45-1151 KAMEHAMEHA HWY STE C, KANEOHE, HI 96744-3211
(808) 247-7770
(808) 247-7799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13057
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
558835
—
HI
Enumeration date
03/24/2010
Last updated
02/18/2020
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