Individual
DR. REID ICHIO MANAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
321 N KUAKINI ST, SUITE 306, HONOLULU, HI 96817-2364
(808) 545-1557
(808) 545-5743
Mailing address
321 N KUAKINI ST, STE 306, HONOLULU, HI 96817-2360
(808) 792-9888
(808) 380-9800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E04303
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026465-01
—
HI
Enumeration date
08/09/2006
Last updated
11/04/2016
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