Dave Mitsunaga MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-5774 Issued in HI

Legal business name

DAVE MITSUNAGA MD LLC

Practice address

1627 Hanai Loop
Honolulu, HI 96817-1803

Phone

(808) 536-0300

NPI assigned

Apr 4, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dave Mitsunaga, M.D.

Title

Owner

Phone

(808) 224-5848

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1053654368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25490",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250490",
            "telephone_number": "808-536-0300",
            "fax_number": "808-536-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 HANAI LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171803",
            "telephone_number": "808-536-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE MITSUNAGA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "MITSUNAGA",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-224-5848",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-5774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chasen Daugherty, PA-C
• Paige Marie Daumeyer
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• Rachel E Davenport, APRN
• Dylan Frances Davey, M.D., PH.D.

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.