Miyaki, Clyde T

Miyaki, Clyde T is an sole proprietor health care provider with primary practice located at 1029 Kapahulu Ave 301, Honolulu HI 96816-1332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Miyaki, Clyde T can be contacted via phone (808) 733-5111.

Contact Information

Primary practice address
1029 Kapahulu Ave 301 Honolulu HI 96816-1332
Fax: (808) 733-5122
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD-3994 Hawaii

Profile Details

NPI number 1457392029
LBN Legal business name Miyaki, Clyde T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jan 18th, 2011 - about 13 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 1457392029 NPPES
Hawaii MEDICAID 024287-01

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