Innovation MD LLC

NPI #1225352966 in Kaneohe, Hawaii

Provider Information

NPI Number: 1225352966
Entity Type: Organization
Organization Name: Innovation MD LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 24, 2010
Last Updated: Feb 18, 2020

Practice Location

Address: 45-1151 KAMEHAMEHA HWY STE C
City: Kaneohe
State: Hawaii
ZIP Code: 96744-3211
Phone: (808) 247-7770

Authorized Official

Name: MRS. ELIZABETH SAMSAMI
Title: MEDICAL OFFICE MANAGER
Phone: (808) 387-0911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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