Organization
MITCHELL N. TASAKI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL N TASAKI M.D. (OWNER)
(808) 242-8877
Entity
Organization
Contact information
Practice address
1885 MAIN ST, STE. 206, WAILUKU, HI 96793-1819
(808) 242-8877
(808) 242-1564
Mailing address
1885 MAIN ST, STE. 206, WAILUKU, HI 96793-1819
(808) 242-8877
(808) 242-1564
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9619
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008697601
—
HI
Enumeration date
04/07/2011
Last updated
10/17/2018
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