Organization
SUSAN MIKAMI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MIKAMI M.D. (AGENT)
(808) 351-1012
Entity
Organization
Contact information
Practice address
1100 WARD AVE, SUITE 810, HONOLULU, HI 96814-1600
(808) 351-1012
Mailing address
PO BOX 10012, HONOLULU, HI 96816-0012
(808) 351-1012
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
13933
HI
2084P0800X
Psychiatry Physician
13933
HI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
13933
HI
Other
Enumeration date
07/16/2009
Last updated
07/28/2009
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