Individual
DR. LEE E MIYASATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD9407
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Q0209984
HMSA BILLING NUMBER
HI
05
—
080299-13
—
HI
05
—
80299
—
HI
Enumeration date
08/04/2006
Last updated
05/12/2021
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