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NPI Code Detail

MEDICARE: DR. TODD T. KUBO M.D.

MEDICARE: DR. TODD T. KUBO 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
1207Q00000XFamily Medicine PhysicianMD-7930HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200T0095285OTHERHIHMSA

General Provider Information

NPI Number : 1598834780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TODD T. KUBO M.D.
Provider Business Mailing Address
First Line : 956 WAIIKI ST
Second Line :
City : HONOLULU
State : HI
Zip : 96821-1233
Country : US
Telephone Number : 808-285-2448
Fax Number : 808-373-3310
Provider Business Practice Location Address
First Line : 46-056 KAMEHAMEHA HWY
Second Line : SUITE G-1
City : KANEOHE
State : HI
Zip : 96744-3755
Country : US
Telephone Number : 808-233-6200
Fax Number : 808-233-6255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 08/20/2007

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Directions to “ DR. TODD T. KUBO M.D.” Practice Location

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