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Individual

DR. MITCHELL A. MOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
MD-9227
HI
2085R0202X
Diagnostic Radiology Physician
MD-9227
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002458-11
HI
01
00J0214419
HMSA BILLING NUMBER
HI
Enumeration date
09/25/2006
Last updated
06/09/2021
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