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Individual

ALVIN K IKEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
347 N KUAKINI ST, HONOLULU, HI 96817-2306
(808) 522-0190
(808) 523-9068
Mailing address
321 N KUAKINI ST, SUITE 405, HONOLULU, HI 96817-2364
(808) 522-0190
(808) 523-9068

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD9450
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A0208023
QUEST HMSA
HI
01
00B0208021
QUEST HMSA
HI
01
079078-01
ST DEPT OF PUB SAFETY
HI
01
079078-02
ST DEPT OF PUB SAFETY
HI
05
07907801
HI
05
07907802
HI
01
103802483
US MARSHALL SVC-FED DET C
HI
01
108-2145098
AETNA
HI
01
201243800
US LABOR DEPT
HI
01
300067403
PALMETTO GBA
HI
01
90157698
AETNA, UHC, CIGNA
HI
01
990157698-96701-B008
TRICARE
HI
01
990157698-96817-E008
TRICARE
HI
01
990157698007
HI ELEC
HI
01
A208023
HMSA
HI
01
B208021
HMSA
HI
01
MD9450
QUEENS HEALTHCARE
HI
Enumeration date
04/19/2006
Last updated
02/16/2017
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