Shimomura, Gregg Atsushi

Shimomura, Gregg Atsushi is an individual health care provider with primary practice located at 99 128 Aiea Heights Drive Suite 504, Aiea HI 96701-3938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shimomura, Gregg Atsushi can be contacted via phone (808) 487-2497.

Contact Information

Primary practice address
99 128 Aiea Heights Drive Suite 504 Aiea HI 96701-3938
Fax: (808) 487-2494
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD6215 Hawaii

Profile Details

NPI number 1538280367
LBN Legal business name Shimomura, Gregg Atsushi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1538280367 NPPES
Hawaii MEDICAID 05906901
Hawaii Other 078493

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