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Individual

TRAVIS HIDEKI NAKAMURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
405 N KUAKINI ST, SUITE #1011, HONOLULU, HI 96817-6300
(808) 596-7791
(808) 440-2255
Mailing address
405 N KUAKINI ST, SUITE #1011, HONOLULU, HI 96817-6300
(808) 596-7791
(808) 440-2255

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-12774
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
57568101
HI
Enumeration date
10/10/2006
Last updated
11/26/2014
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