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NPI Code Detail

MEDICARE: DR. CHAD KOYANAGI M.D.

MEDICARE: DR. CHAD KOYANAGI M.D.
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
1174400000XSpecialistMD10043HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770536088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAD KOYANAGI M.D.
Provider Business Mailing Address
First Line : 677 ALA MOANA BLVD, SUITE 1025
Second Line :
City : HONOLULU
State : HI
Zip : 96813-5419
Country : US
Telephone Number : 808-535-5975
Fax Number : 808-535-5976
Provider Business Practice Location Address
First Line : 677 ALA MOANA BLVD, SUITE 1025
Second Line :
City : HONOLULU
State : HI
Zip : 96813-5419
Country : US
Telephone Number : 808-535-5975
Fax Number : 808-535-5976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CHAD KOYANAGI M.D.” Practice Location

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