Individual
DEVIN SELVA GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 AULIKE ST STE 201, KAILUA, HI 96734-2750
(808) 261-4658
(808) 263-2036
Mailing address
30 AULIKE ST STE 201, KAILUA, HI 96734-2750
(808) 261-4658
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD-20476
HI
207XS0106X
Orthopaedic Hand Surgery Physician
MD-20476
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508127838
—
WA
01
—
8966666
MEDICARE PIN
WA
Enumeration date
06/04/2012
Last updated
09/20/2019
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