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Individual

ROGER E YIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1329 LUSITANA STREET, SUITE 704, HONOLULU, HI 96813-2431
(808) 524-2100
(808) 534-0593
Mailing address
1329 LUSITANA STREET, SUITE 704, HONOLULU, HI 96813-2431
(808) 524-2100
(808) 534-0593

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD10400
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10400
MDX QUEENS HEALTH CARE
HI
01
22987-2
HMSA
HI
05
499104-01
HI
01
HGDRUGER
MEDICARE GROUP PROVIDER
HI
Enumeration date
09/15/2006
Last updated
07/08/2007
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