Organization
KE OLA MAMO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMI RAFANAN (MEDICAL BILLER)
(808) 440-6852
Entity
Organization
Contact information
Practice address
321 N KUAKINI ST STE 308, HONOLULU, HI 96817-2360
(808) 440-6852
(808) 440-6878
Mailing address
680 IWILEI RD STE 500, HONOLULU, HI 96817-5389
(808) 440-6852
(808) 440-6878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
01/13/2023
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