Individual
DR. JASON TAKEMI NINOMIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 KAMOKILA BLVD STE 193, KAPOLEI, HI 96707-2014
(808) 693-7300
(808) 693-7301
Mailing address
1001 KAMOKILA BLVD, SUITE 193, KAPOLEI BUILDING, KAPOLEI, HI 96707-2014
(808) 693-7300
(808) 693-7301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD13419
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
568959
—
HI
Enumeration date
08/11/2006
Last updated
08/22/2008
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