Individual
DEYAA MOUNIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
(808) 242-4292
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40046
TN
208M00000X
Hospitalist Physician
Primary
MD-14657
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-14657
MD LIC
HI
Enumeration date
12/07/2005
Last updated
01/04/2010
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