Individual
DR. PANUPONG JIAMSRIPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-1079 MOANALUA RD, AIEA, HI 96701-4713
(808) 486-6000
Mailing address
98-1079 MOANALUA RD, AIEA, HI 96701-4713
(808) 486-6000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17399
HI
Other
Enumeration date
04/19/2011
Last updated
06/19/2020
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