Healthcare Provider Details

I. General information

NPI: 1396846465
Provider Name (Legal Business Name): MERLE K. MIURA-AKAMINE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MERLE K. MIURA

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 05/14/2021
Certification Date: 05/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 PAA ST
HONOLULU HI
96819-4405
US

IV. Provider business mailing address

2828 PAA ST
HONOLULU HI
96819-4405
US

V. Phone/Fax

Practice location:
  • Phone: 808-432-7450
  • Fax:
Mailing address:
  • Phone: 808-432-7450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD-6635
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: