Bradley Koizumi Md Inc
LBN: Bradley Koizumi Md Inc
Bradley Koizumi Md Inc is an health care organization with primary practice located at 99-128 Aiea Heights Dr Suite 106, Aiea HI 96701-3925. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Bradley Koizumi Md Inc can be contacted via phone (808) 488-6833, or through Koizumi, Bradley via phone (808) 488-6833.
Contact Information
Primary practice address
99-128 Aiea Heights Dr Suite 106
Aiea HI 96701-3925
Phone: (808) 488-6833
Fax: (808) 591-8880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 03321 | Hawaii |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 03321 | Hawaii |
Profile Details
| NPI number | 1306184148 |
|---|---|
| LBN Legal business name | Bradley Koizumi Md Inc |
| DBA Doing business as | |
| Authorized official | Koizumi, Bradley Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2013 |
| Last updated | Jan 30th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306184148 | NPPES |
| Hawaii | MEDICAID | 04029201 |
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