Individual
DIGJAYA UTAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1356 LUSITANA ST FL 5, HONOLULU, HI 96813-2409
(808) 586-8213
(808) 586-8211
Mailing address
1356 LUSITANA ST FL 5, HONOLULU, HI 96813-2409
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MDR-7997
HI
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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