Individual
TODD MITSUGI NISHIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1643 PALOLO AVE APT B, HONOLULU, HI 96816-2554
(808) 343-9879
Mailing address
1643 PALOLO AVE APT B, HONOLULU, HI 96816-2554
(808) 343-9879
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MDR5451
HI
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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