Organization
TODD H.M. MIRZAI,M.D.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD H.M. MIRZAI M.D. (OWNER)
(808) 952-9779
Entity
Organization
Contact information
Practice address
1907 S BERETANIA ST, SUITE 120, HONOLULU, HI 96826-1301
(808) 952-9779
(808) 952-9988
Mailing address
1939 E VINEYARD ST, WAILUKU, HI 96793-1714
(808) 249-8509
(808) 242-9166
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD11980
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5797799
UHA PIN
HI
01
—
A236099
MAUI HMSA PIN
HI
01
—
C236095
HMSA OAHU PIN
HI
01
—
D0236093
KAUAI HMSA PIN
HI
01
—
E0236090
MAUI 2 HMSA PIN
HI
01
—
P00019092
MEDICARE RAILROAD PIN
HI
Enumeration date
05/18/2007
Last updated
05/06/2008
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