MEDICARE: DRS. KAMEI AND HATHAWAY

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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	A79473	CA
2	207R00000X	Internal Medicine Physician	A79473	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P00060101	OTHER	RAILROAD RETIREMENT
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902848369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. KAMEI AND HATHAWAY

Provider Business Mailing Address
First Line	:	152 PIONEER LN
Second Line	:	SUITE C
City	:	BISHOP
State	:	CA
Zip	:	93514-2563
Country	:	US
Telephone Number	:	760-873-7111
Fax Number	:

Provider Business Practice Location Address
First Line	:	152 PIONEER LN
Second Line	:	SUITE C
City	:	BISHOP
State	:	CA
Zip	:	93514-2563
Country	:	US
Telephone Number	:	760-873-7111
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ASAO KAMEI
Credential	:	MD
Telephone Number	:	760-873-7111

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	09/12/2007

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Directions to “DRS. KAMEI AND HATHAWAY ” Practice Location

Language	Start Address	Practice Location

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