Individual
DR. ILYA VLADIMIR YEPISHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 214-1306
(844) 656-5581
Mailing address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 214-1306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOS-1673
HI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
DOS-1673
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2012
Last updated
03/21/2025
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