Derek R Illastron in Wailuku - Internal Medicine
Derek R Illastron - NPI 1790949956
Derek R Illastron is a Internal Medicine in Wailuku, Hawaii. Derek R Illastron practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Derek R Illastron is 1790949956. The last update date is 2019-03-19.
Derek R Illastron's current location address is 2180 Main St, Wailuku, Hawaii. You can contact this provider via phone number 8082426464. The mailing address for Derek R Illastron is 2180 Main St, Wailuku, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek R Illastron |
|---|---|
| Address | 2180 Main St, Wailuku, Hawaii |
| Phone Number | 8082426464 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790949956 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2019-03-19 |
Provider Mailing Address Detail
| Address | 2180 Main St |
|---|---|
| City | Wailuku |
| State | Hawaii (HI) |
| Post Code | 967931625 |
| Phone Number | 8082426464 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 235414 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identifier code issued to Derek R Illastron by the Centers for Medicare & Medicaid Services?
The Derek R Illastron has been assigned the NPI (National Provider Identifier) 1790949956 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Derek R Illastron?
The Derek R Illastron is physically situated at 2180 Main St, in the city of Wailuku, state of HI, with the postal code 967931625.
What is Derek R Illastron's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Derek R Illastron is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790949956 to Derek R Illastron?
The Derek R Illastron received its 1790949956 assignment from the Centers for Medicare & Medicaid Services on 2008-07-16.
When was the Derek R Illastron's information last updated?
The Derek R Illastron's information was last updated on 2019-03-19.
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