Sharon Dakuitoga, MBBS

Individual provider Active NPI Emergency Medicine Physician · Pago Pago, AS

NPI 1003552787 · NPPES record last updated May 6, 2022

Key facts

NPI
1003552787
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
4111C (AS)
Practice address
1 Turner Drive
Pago Pago, AS 96799-0010
Phone
(684) 633-1222
Fax
(684) 633-1869
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4111CASMDEmergency Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4111C AS Yes

Addresses

Primary practice location

1 Turner Drive
Pago Pago, AS 96799-0010

Mailing address

PO Box LBJ
Pago Pago, AS 96799-0010
Phone (684) 633-1222

Other providers in Pago Pago, AS

All providers in Pago Pago, AS · Emergency Medicine Physician in American Samoa

Sources for this page

Verify at the official NPI Registry.