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NPI Code Detail

MEDICARE: ACCUIMAGING KAPAHULU, LLC

MEDICARE: ACCUIMAGING KAPAHULU, LLC
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
12085R0202XDiagnostic Radiology PhysicianW81157443-01HI

General Provider Information

NPI Number : 1356456933
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCUIMAGING KAPAHULU, LLC
Provider Business Mailing Address
First Line : 500 ALA MOANA BLVD
Second Line : TOWER 4, SUITE 510
City : HONOLULU
State : HI
Zip : 96813-4920
Country : US
Telephone Number : 808-748-4080
Fax Number : 808-748-4791
Provider Business Practice Location Address
First Line : 1029 KAPAHULU AVE
Second Line : SUITE 501
City : HONOLULU
State : HI
Zip : 96816-1332
Country : US
Telephone Number : 808-748-4080
Fax Number : 808-748-4791
Authorized Official
Title or Position : CEO
Name : MR. MIKE MATWICHYNA
Credential :
Telephone Number : 808-748-4771
Provider Enumeration Date : 08/21/2006
Last Update Date : 09/15/2008

Similar Medicare Providers

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Practice Location Address:
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Practice Fax:
1043201494 — TIMOTHY QUINN HOWARD PHYSICIAN ASSISTANT
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1073563979 — DR. DAVID SHU- AN CHOU MD
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Practice Phone: 808-218-7858
Practice Fax: 808-218-7859
1346297926 — SHARON S LAWLER M.D.
Practice Location Address:
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1275572299 — DR. HIRAM L.K.H. YOUNG M.D.
Practice Location Address:
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1457392029 — DR. CLYDE T MIYAKI M.D.
Practice Location Address:
1029 KAPAHULU AVE , 301
HONOLULU, HI
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Practice Phone: 808-733-5111
Practice Fax: 808-733-5122

Directions to “ACCUIMAGING KAPAHULU, LLC ” Practice Location

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