Provider Demographics
NPI:1003824160
Name:MIURA, DAWN A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:A
Last Name:MIURA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:98-1079 MOANALUA RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4713
Mailing Address - Country:US
Mailing Address - Phone:808-487-2277
Mailing Address - Fax:808-488-5582
Practice Address - Street 1:98-1079 MOANALUA RD
Practice Address - Street 2:SUITE 350
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4713
Practice Address - Country:US
Practice Address - Phone:808-487-2277
Practice Address - Fax:808-488-5582
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
HI7580207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIE95112Medicare UPIN