Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | PO131 | HI |
N | 111NR0200X | Radiology | PO131 | HI |
N | 213ER0200X | Radiology | PO131 | HI |
N | 2081S0010X | Sports Medicine | PO131 | HI |
N | 213ES0000X | Sports Medicine | PO131 | HI |
N | 213ES0131X | Foot Surgery | PO131 | HI |
NPI | 1649383415 |
---|---|
Provider Name | Dr. Garret K Noguchi |
First Address | Honolulu, HI 96817-2362 |
Second Address | Honolulu, HI 96817-2362 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08079401 | (05) | HI |
192704 | HMA, INC (01) | HI |
210765 | HMSA, HI (01) | HI |
U66089 | (02) | HI |