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NPI Code Detail

MEDICARE: MR. TODD MITSUO UCHIMA PA-C

MEDICARE: MR. TODD MITSUO UCHIMA PA-C
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
1363A00000XPhysician AssistantAMD226HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000251397OTHERHIHMSA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38378241OTHERHIUHA

General Provider Information

NPI Number : 1982662987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TODD MITSUO UCHIMA PA-C
Provider Business Mailing Address
First Line : 755 SCOTT CIR
Second Line :
City : JBPHH
State : HI
Zip : 96853-5399
Country : US
Telephone Number : 808-448-6100
Fax Number : 808-448-6113
Provider Business Practice Location Address
First Line : 755 SCOTT CIR
Second Line :
City : JBPHH
State : HI
Zip : 96853-5399
Country : US
Telephone Number : 808-448-6100
Fax Number : 808-448-6113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 12/06/2023

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