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NPI Code Detail

MEDICARE: MYRON EKAKU SHIRASU M.D.

MEDICARE:   MYRON EKAKU SHIRASU  M.D.
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-1415HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316035900
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYRON EKAKU SHIRASU M.D.
Provider Business Mailing Address
First Line : 321 N. KUAKINI ST.
Second Line : SUITE #201
City : HONOLULU
State : HI
Zip : 96817-2399
Country : US
Telephone Number : 808-523-8611
Fax Number :
Provider Business Practice Location Address
First Line : 321 N. KUAKINI ST.
Second Line : SUITE #201
City : HONOLULU
State : HI
Zip : 96817-2399
Country : US
Telephone Number : 808-523-8611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 07/08/2007

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Directions to “ MYRON EKAKU SHIRASU M.D.” Practice Location

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