Organization
MAUI KIDNEY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIN JAROS MD (OWNER)
(480) 740-2106
Entity
Organization
Contact information
Practice address
105 MAUI LANI PKWY, WAILUKU, HI 96793-2443
(480) 740-2106
Mailing address
105 MAUI LANI PKWY STE 100, WAILUKU, HI 96793-2443
(480) 740-2106
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
04/06/2019
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