Individual
SHAUN P BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
571 KAIMALINO ST, KAILUA, HI 96734-1611
(808) 387-6868
(808) 254-2346
Mailing address
571 KAIMALINO ST, KAILUA, HI 96734-1611
(808) 387-6868
(808) 254-2346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD8751
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07864901
—
HI
05
—
07864902
—
HI
01
—
E207430
HMSA
HI
Enumeration date
01/23/2006
Last updated
02/21/2008
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