Miyamoto, Keisuke

Miyamoto, Keisuke is an individual health care provider with primary practice located at 1301 Punchbowl St , Honolulu HI 96813-2402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Miyamoto, Keisuke can be contacted via phone (808) 691-1000.

Contact Information

Primary practice address
1301 Punchbowl St Honolulu HI 96813-2402
Phone: (808) 691-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD18539 Hawaii
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD18539 Hawaii

Profile Details

NPI number 1538508452
LBN Legal business name Miyamoto, Keisuke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2013
Last updated Feb 9th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538508452 NPPES
Hawaii MEDICAID 1538508452

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