Bradley Koizumi MD INC

NPI #1306184148 in Aiea, Hawaii

Provider Information

NPI Number: 1306184148
Entity Type: Organization
Organization Name: Bradley Koizumi MD INC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 30, 2013
Last Updated: Jan 30, 2013

Practice Location

Address: 99-128 AIEA HEIGHTS DR
Address 2: SUITE 106
City: Aiea
State: Hawaii
ZIP Code: 96701-3925
Phone: (808) 488-6833

Authorized Official

Name: DR. BRADLEY KOIZUMI, M.D.
Title: PRESIDENT
Phone: (808) 488-6833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine	207R00000X	Primary

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