Individual
ROY J EBISU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
98-1079 MOANALUA RD, # 420, AIEA, HI 96701-4789
(808) 488-7770
(808) 487-0104
Mailing address
98-1079 MOANALUA RD, # 420, AIEA, HI 96701-4789
(808) 488-7770
(808) 487-0104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3677
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047827-01
—
HI
Enumeration date
08/13/2006
Last updated
11/16/2009
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