Aiea Medical Group,Llc

LBN: Aiea Medical Group,Llc
Aiea Medical Group,Llc is an health care organization with primary practice located at 98-1079 Moanalua Rd Suite 420, Aiea HI 96701-4713. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Aiea Medical Group,Llc can be contacted via phone (808) 488-7770, or through Dimitrion, Michael John via phone (808) 488-7770.

Contact Information

Primary practice address
98-1079 Moanalua Rd Suite 420 Aiea HI 96701-4713
Phone: (808) 488-7770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dimitrion, Michael John Doctor of Medicine (MD)
Phone: (808) 488-7770

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3107 Hawaii

Profile Details

NPI number 1598009227
LBN Legal business name Aiea Medical Group,Llc
DBA Doing business as
Authorized official Dimitrion, Michael John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2012
Last updated Nov 19th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598009227 NPPES
Hawaii MEDICAID 03759701

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