| Dr. Russell M Tom Llc | |
|
98-1079 Moanalua Rd Ste 350 Aiea HI 96701-4714 | |
| (808) 487-2277 | |
| (808) 488-5582 |
| Full Name | Dr. Russell M Tom Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 98-1079 Moanalua Rd Ste 350, Aiea, Hawaii |
| Authorized Official Name and Position | Hien Ramones (BILLER) |
| Authorized Official Contact | 8086297845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Russell M Tom Llc 98-1079 Moanalua Rd Ste 350 Aiea HI 96701-4714 Ph: (808) 487-2277 | Dr. Russell M Tom Llc 98-1079 Moanalua Rd Ste 350 Aiea HI 96701-4714 Ph: (808) 487-2277 |
| NPI Number | 1659091171 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 09/02/2022 |
| Medicare PECOS PAC ID | 0143690628 |
|---|---|
| Medicare Enrollment ID | O20221227000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659091171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Russell M Tom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346258407 PECOS PAC ID: 2769373547 Enrollment ID: I20101214000905 |
Rice Consultancy Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-211 Pali Momi St, Suite 312, Aiea, HI 96701 Phone: 808-486-0449 Fax: 808-488-0725 | |
Ky Le Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1079 Moanalua Rd, Aiea, HI 96701 Phone: 808-536-0300 | |
Yousif A-rahim Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-211 Pali Momi St, 312, Aiea, HI 96701 Phone: 808-486-0449 Fax: 808-488-0725 | |
Luis J. Ragunton, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1079 Moanalua Rd, Suite 440, Aiea, HI 96701 Phone: 808-488-8750 Fax: 808-487-5910 | |
Mark A Morisaki Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1079 Moanalua Rd Ste 620, Aiea, HI 96701 Phone: 808-488-2224 | |
Randall J. Nitta, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1247 Kaahumanu St Ste 306, Aiea, HI 96701 Phone: 808-484-2904 Fax: 808-484-2864 | |
Robert Wong, Md, L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-211 Pali Momi Street, Suite 312, Aiea, HI 96701 Phone: 808-486-0449 Fax: 808-488-0725 |