Organization
HAWAII PODIATRY INC
Active
Other names
Hawaii Podiatry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIANE J WATANABE DPM (OWNER/PRESIDENT)
(808) 726-2161
Entity
Organization
Contact information
Practice address
1245 KUALA ST, SUITE 102A, PEARL CITY, HI 96782-3900
(808) 726-2161
(808) 726-2161
Mailing address
1245 KUALA ST, SUITE 102A, PEARL CITY, HI 96782-3900
(808) 726-2161
(808) 726-2163
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO-196
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7380140001
MEDICARE NSC
HI
Enumeration date
05/01/2014
Last updated
05/29/2019
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