Provider Demographics
NPI:1982042107
Name:SCHOENMAN, KATIE MASTORIS (DO)
Entity Type:Individual
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First Name:KATIE
Middle Name:MASTORIS
Last Name:SCHOENMAN
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Gender:F
Credentials:DO
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Practice Address - Street 1:1301 PUNCHBOWL ST
Practice Address - Street 2:PAUAHI 3RD FLOOR, QUEEN'S HEART
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2402
Practice Address - Country:US
Practice Address - Phone:808-691-4111
Practice Address - Fax:808-691-5015
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2022-08-05
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB11330400207UN0901X, 207RC0000X
HIDOS-1722207RC0000X
PAOT015519207R00000X
PAOS017371207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine