Individual
DARRELL T TAKEBAYASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 COOKE ST # A2415, HONOLULU, HI 96813-5274
(808) 735-9093
Mailing address
575 COOKE ST # A2415, HONOLULU, HI 96813-5274
(808) 735-9093
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD5495
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02177901
—
HI
Enumeration date
11/08/2006
Last updated
07/08/2007
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