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NPI Code Detail

MEDICARE: DR. JHOANNA D MABUTAS MD

MEDICARE:  DR. JHOANNA D MABUTAS  MD
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
1207R00000XInternal Medicine PhysicianMD 12226HI

General Provider Information

NPI Number : 1841281599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JHOANNA D MABUTAS MD
Provider Business Mailing Address
First Line : 3938 MONTEREY PL
Second Line :
City : HONOLULU
State : HI
Zip : 96816-3922
Country : US
Telephone Number : 808-734-6167
Fax Number :
Provider Business Practice Location Address
First Line : 2239 N SCHOOL ST
Second Line :
City : HONOLULU
State : HI
Zip : 96819-2539
Country : US
Telephone Number : 808-791-9410
Fax Number : 808-847-6051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 05/17/2013

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Directions to “ DR. JHOANNA D MABUTAS MD” Practice Location

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