Individual
NEELESH FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301090644
MI
Other
Enumeration date
04/20/2010
Last updated
05/07/2021
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