Provider Demographics
NPI:1871567008
Name:MUSGRAVE, JAMES E (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:MUSGRAVE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1380 LUSITANA ST
Mailing Address - Street 2:SUITE 808
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2449
Mailing Address - Country:US
Mailing Address - Phone:808-521-3473
Mailing Address - Fax:808-521-3474
Practice Address - Street 1:1380 LUSITANA ST
Practice Address - Street 2:SUITE 808
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2449
Practice Address - Country:US
Practice Address - Phone:808-521-3473
Practice Address - Fax:808-521-3474
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-10-30
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Provider Licenses
StateLicense IDTaxonomies
HI30652080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000948578Medicaid
HI0000948578Medicaid
HIC98545Medicare UPIN