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Physician Compare National (NPI:1548365224)

HEALTHCARE PROVIDER: MARI NAKASHIZUKA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1548365224
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5698847366
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080712000114
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name NAKASHIZUKA
Individual professional last name
Provider First Name MARI
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1988
Individual professional's medical school graduation year
Primary Specialty UNDEFINED PHYSICIAN TYPE (SPECIFY)
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1380 LUSITANA ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1008
Group Practice or individual's line 2 address
City HONOLULU
Group Practice or individual's city
State HI
Group Practice or individual's state
Zip Code 968132461
Group Practice or individual's zip code (9 digits when available)
Phone Number 8085331676
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 120007
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 KUAKINI MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 120001
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 THE QUEENS MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 120026
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 PALI MOMI MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 123300
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 120006
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 ADVENTIST HEALTH CASTLE
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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