Provider Demographics
NPI:1871556696
Name:CAMARA, ENRICO DE GUZMAN (MD)
Entity type:Individual
Prefix:DR
First Name:ENRICO
Middle Name:DE GUZMAN
Last Name:CAMARA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1212 NUUANU AVE
Mailing Address - Street 2:STE 2405
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4021
Mailing Address - Country:US
Mailing Address - Phone:808-433-0134
Mailing Address - Fax:
Practice Address - Street 1:459 PATTERSON RD
Practice Address - Street 2:VAPIHCS
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1522
Practice Address - Country:US
Practice Address - Phone:808-433-0134
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD 70232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry