Doctor Name: | DR. WEGA KOSS |
NPI Number: | 1043263353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD12697 |
Business Practice Address: | 1301 Punchbowl Street Honolulu, HI - 96813 |
Business Phone Number: | 8085855494 |
Business Fax Number: | 8085855490 |
Mailing Address: | 677 Ala Moana Blvd, Suite 1025, HONOLULU |
State: | HI |
Postal Code: | 968135419 |
Phone Number: | 8085355975 |
Fax Number: | 8085355976 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD12697 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |