1295993202 NPI number — ROYCE SHIMAMOTO MD LLC

Table of content: (NPI 1295993202)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295993202 NPI number — ROYCE SHIMAMOTO MD LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROYCE SHIMAMOTO MD LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295993202
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 25370
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96825-0370
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-536-0300
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
347 N KUAKINI ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-2336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-547-9789
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SHIMAMOTO
Authorized Official First Name:
ROYCE
Authorized Official Middle Name:
T
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
808-221-7083

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  12570 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)