Individual
DR. KEISUKE MIYAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
347 N KUAKINI ST, HONOLULU, HI 96817-2306
(808) 536-2236
Mailing address
PO BOX 12176, HONOLULU, HI 96828-1176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD18539
HI
208M00000X
Hospitalist Physician
Primary
MD18539
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538508452
—
HI
Enumeration date
06/25/2013
Last updated
08/26/2025
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