Organization
SHAYNE CASTANERA MD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNE CASTANERA M.D. (OWNER)
(808) 254-4670
Entity
Organization
Contact information
Practice address
98-1079 MOANALUA RD, AIEA, HI 96701-4713
(808) 254-4670
(808) 254-4670
Mailing address
PO BOX 5008, KANEOHE, HI 96744-9008
(808) 254-4670
(808) 254-4670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD6965
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07052002
—
HI
01
—
H0091655
HMSA
HI
Enumeration date
02/19/2015
Last updated
02/19/2015
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