Organization
DAGU PROFESSIONAL SERVICES LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY M. CABOT M.D. (PRESIDENT)
(877) 445-4406
Entity
Organization
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(877) 445-4406
Mailing address
PO BOX 10813, HONOLULU, HI 96816-0813
(877) 445-4406
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD-4869
HI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD-4869
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B0014593
HMSA
HI
05
—
04904801
—
HI
Enumeration date
09/22/2006
Last updated
01/08/2010
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