Individual provider · NPI-1

Stacy K Kanayama-Trivedi, M.D.

Family Medicine · Jbphh, HI

NPI number1164633954
StatusActive
Last updated in NPPESMay 20, 2014

Details

NPI
1164633954
Entity type
Individual (NPI-1)
Name
Stacy K Kanayama-Trivedi
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 24, 2007
Last updated
May 20, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine202089LAYes

Practice location

480 Central Ave
Department Of Family Medicine
Jbphh, HI 96860-4908

Phone 808-473-1880 · Fax 808-473-4411

Mailing address

480 Central Ave
Department Of Family Medicine
Jbphh, HI 96860-4908

Phone 808-473-1880 · Fax 808-473-4411

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