Individual
DEREK I MITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
599 FARRINGTON HWY STE 201, KAPOLEI, HI 96707-2028
(808) 674-9500
Mailing address
599 FARRINGTON HWY STE 201, KAPOLEI, HI 96707-2028
(808) 674-9500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9932
NV
207Q00000X
Family Medicine Physician
Primary
MD-20577
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016769
—
NV
01
—
11041229
CAQH
—
01
—
80173665
RAILROAD MEDICARE
NV
Enumeration date
02/14/2006
Last updated
08/04/2020
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