NPI 1073586772 · live from the CMS NPI Registry
Shephard Spooner Kosut, M.D.
Radiology, Diagnostic Radiology in Honolulu, HI. National Provider Identifier 1073586772, active.
NPI record
| NPI | 1073586772 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1481 S King St Ste 202, Honolulu, HI 96814 |
| Practice phone | 808-792-3710 |
| Mailing address | 227 Kahako St, Kailua, HI 96734 |
| Enumerated | February 12, 2006 |
| Last updated | December 17, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 15269 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.