Individual
TAKESHI IIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2029 NUUANU AVE, #1402, HONOLULU, HI 96817-2515
(808) 779-9966
Mailing address
2029 NUUANU AVE, #1402, HONOLULU, HI 96817-2515
(808) 779-9966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5549
HI
Other
Enumeration date
08/05/2008
Last updated
08/06/2008
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