Organization
ISLAND MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ISADORE MD (PHYSICIAN)
(808) 594-7845
Entity
Organization
Contact information
Practice address
410 KILANI AVE, WAHIAWA, HI 96786-1844
(808) 594-7845
(844) 285-8853
Mailing address
647 KUNAWAI LN APT 408, HONOLULU, HI 96817-2259
(808) 594-7845
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088472
—
HI
Enumeration date
08/14/2022
Last updated
08/19/2022
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