Dr. Wipat Phanthawimol, M.D.
Internal Medicine in Honolulu, HI. Individual provider (NPI-1).
NPI number1982809802
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982809802
- Entity type
- Individual (NPI-1)
- Name
- Dr. Wipat Phanthawimol
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MDR-4786 | HI | Yes |
Practice location
1356 Lusitana StHonolulu, HI 96813-2421
Phone 808-586-7482
Mailing address
1255 Nuuanu Ave Apt 2005Honolulu, HI 96817-4009
Phone 808-927-4543
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