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General NPI Number Information
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NPI Number | 1942532155
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Entity Type | Organization
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Legal Business Name | SCOTT HIMEDA MD LLC
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Dates
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Enumeration Date | 02/12/2010
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 1100 WARD AVE STE 700
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City | HONOLULU
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State | HI
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Zip | 96814-1617
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Country | US
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Telephone | 808-544-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 WARD AVE STE 700
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City | HONOLULU
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State | HI
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Zip | 96814-1617
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Country | US
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Telephone | 808-544-2600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT HIMEDA
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Credential | MD
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Telephone | 808-544-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-3810
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License Number State | HI
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