Nagasaka, Diane

Nagasaka, Diane is an individual health care provider with primary practice located at 2180 Main St , Wailuku HI 96793-1625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nagasaka, Diane can be contacted via phone (808) 242-6464.

Contact Information

Primary practice address
2180 Main St Wailuku HI 96793-1625
Phone: (808) 242-6464
Fax: (808) 242-4209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD5239 Hawaii

Profile Details

NPI number 1144256603
LBN Legal business name Nagasaka, Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Sep 9th, 2010 - about 16 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 1144256603 NPPES
Hawaii MEDICAID 02053602
Hawaii MEDICAID 02053601
Hawaii Other 022699
Hawaii Other 99017685996793B065
Hawaii Other 02053601
Hawaii Other 022699
Hawaii Other 990176859
Hawaii MEDICAID 02053603

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