| Soha P Taheri, MD | |
|
91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | |
| (808) 691-3000 | |
| Not Available |
| Full Name | Soha P Taheri |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 28 Years |
| Location | 91-2141 Fort Weaver Rd, Ewa Beach, Hawaii |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487849378 | NPI | - | NPPES |
| G62008 | Medicaid | SC | |
| 582162071-040 | Other | HMHS/TRICARE SOUTH | |
| 52305514-001 | Other | GA | BCBS |
| P00687389 | Other | GA | RR MEDICARE |
| 799561945A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 062008 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 62008 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | MD-21941 (Hawaii) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Queens Medical Center | Honolulu, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Queens University Medical Group | 2466831557 | 574 |
| Entity Name | The Queens Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
| Entity Name | Queens University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Soha P Taheri, MD 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 Ph: (808) 691-3000 | Soha P Taheri, MD 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 Ph: (808) 691-3000 |
Mr. Kevin Marc Salire, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2135 Fort Weaver Rd Fl 3, Ewa Beach, HI 96706 Phone: 808-691-3340 Fax: 808-691-3345 | |
Mrs. Aurora C Mariani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2139 Fort Weaver Rd. #307, Ewa Beach, HI 96706 Phone: 808-680-0008 Fax: 808-680-0049 | |
Laverne Arabella Kia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 912139 Fort Weaver Road, Suite 209, Ewa Beach, HI 96706 Phone: 808-671-4530 Fax: 808-676-1066 | |
Dr. Kimberly Kyle, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3000 | |
Mr. Neel Tapryal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3000 | |
Albert Lin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-678-7000 | |
Daniel K Chan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2135 Fort Weaver Rd Fl 3, Ewa Beach, HI 96706 Phone: 808-691-3150 Fax: 808-691-3153 |