Provider Demographics
NPI:1851350144
Name:INAMASU, MELVIN SUEO (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:SUEO
Last Name:INAMASU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1441 KAPIOLANI BLVD
Mailing Address - Street 2:SUITE 505
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4401
Mailing Address - Country:US
Mailing Address - Phone:808-941-2111
Mailing Address - Fax:808-943-0324
Practice Address - Street 1:1441 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 505
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4403
Practice Address - Country:US
Practice Address - Phone:808-941-2111
Practice Address - Fax:808-943-0324
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI3888207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine