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NPI Code Detail

MEDICARE: MAUI MEDICAL GROUP INC

MEDICARE: MAUI MEDICAL GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor
2207N00000XDermatology Physician
3207Q00000XFamily Medicine Physician
4207RH0003XHematology & Oncology Physician
5207RP1001XPulmonary Disease Physician
6207V00000XObstetrics & Gynecology Physician
7207W00000XOphthalmology Physician
8207X00000XOrthopaedic Surgery Physician
9207Y00000XOtolaryngology Physician
10208000000XPediatrics Physician
112085R0202XDiagnostic Radiology Physician
12208600000XSurgery Physician
13208D00000XGeneral Practice Physician
14213E00000XPodiatrist
15207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1215963970
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAUI MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 2180 MAIN ST
Second Line :
City : WAILUKU
State : HI
Zip : 96793-1625
Country : US
Telephone Number : 808-242-6464
Fax Number : 808-242-4292
Provider Business Practice Location Address
First Line : 2180 MAIN ST
Second Line :
City : WAILUKU
State : HI
Zip : 96793-1625
Country : US
Telephone Number : 808-242-6464
Fax Number : 808-242-4292
Authorized Official
Title or Position : ADMINISTRATOR
Name : CLIFFORD ALAKAI
Credential :
Telephone Number : 808-242-4216
Provider Enumeration Date : 06/24/2006
Last Update Date : 08/09/2017

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Directions to “MAUI MEDICAL GROUP INC ” Practice Location

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