Individual
DR. WIPAT PHANTHAWIMOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1356 LUSITANA ST, HONOLULU, HI 96813-2421
(808) 586-7482
Mailing address
1255 NUUANU AVE APT 2005, HONOLULU, HI 96817-4009
(808) 927-4543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR-4786
HI
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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