Individual
DR. MICHAEL PC PI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1319 PUNAHOU ST, HONOLULU, HI 96826-1001
(808) 247-1294
(808) 235-6280
Mailing address
PO BOX 656, KANEOHE, HI 96744-0656
(808) 247-1294
(808) 235-6280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD9055
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074623-02
—
HI
01
—
A20132-5
HMSA
HI
Enumeration date
11/29/2006
Last updated
07/08/2007
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