Individual
SHANON T MAKEKAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
207R00000X
Internal Medicine Physician
MD-14313
HI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD-14313
HI
207RP1001X
Pulmonary Disease Physician
Primary
MD-14313
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000268714
HMSA BILLING NUMBER
HI
05
—
612201-01
—
HI
Enumeration date
08/30/2007
Last updated
05/26/2021
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