Organization
KEITH T MATSUMOTO MD INC
Active
Organization
KEITH T MATSUMOTO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH TSUGIO MATSUMOTO MD (PRESIDENT)
(808) 949-0011
Entity
Organization
Contact information
Practice address
1319 PUNAHOU ST, SUITE 900, HONOLULU, HI 96826-1032
(808) 949-0011
(808) 943-2536
Mailing address
1319 PUNAHOU ST, SUITE 900, HONOLULU, HI 96826-1032
(808) 949-0011
(808) 943-2536
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4464
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D0011215
HMSA QUEST
—
05
—
01076801
—
HI
01
—
194670
HMN
—
01
—
MD446401
QUEENS HEALTH CARE
—
Enumeration date
10/23/2006
Last updated
06/19/2014
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