Individual
STEPHEN KEN MIYASATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99-128 AIEA HTS DR, STE 105, AIEA, HI 96701-3916
(808) 487-9922
(808) 483-6841
Mailing address
99-128 AIEA HTS DR, STE 105, AIEA, HI 96701-3916
(808) 487-9922
(808) 483-6841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 4730
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A001360 5
HMSA
HI
01
—
192075101
HMA
—
05
—
990259803
—
HI
Enumeration date
11/22/2005
Last updated
10/20/2010
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