Organization
MAUI LANI PHYSICIANS AND SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY ANN TAKEMOTO MD (PARTNER)
(808) 385-3941
Entity
Organization
Contact information
Practice address
165 MAA ST, KAHULUI, HI 96732-3603
(808) 446-7120
(808) 446-7121
Mailing address
165 MAA ST, KAHULUI, HI 96732-3603
(808) 446-7120
(808) 446-7121
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
DOS 1403
HI
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 14156
HI
208600000X
Surgery Physician
MD 6373
HI
Other
Enumeration date
04/16/2013
Last updated
05/31/2013
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