Vijak Ayasanonda MD LLC

NPI #1558547422 in Wailuku, Hawaii

Provider Information

NPI Number: 1558547422
Entity Type: Organization
Organization Name: Vijak Ayasanonda MD LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 10, 2008
Last Updated: Jul 24, 2009

Practice Location

Address: 221 MAHALANI ST
City: Wailuku
State: Hawaii
ZIP Code: 96793-2526
Phone: (808) 242-2290

Authorized Official

Name: DR. VIJAK S. AYASANONDA, MD
Title: PRESIDENT
Phone: (808) 589-1391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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