| Richard a Ridao MD LLC | |
|
1481 S King St Ste 343 Honolulu HI 96814-2602 | |
| (808) 678-1900 | |
| Not Available |
| Full Name | Richard a Ridao MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1481 S King St Ste 343, Honolulu, Hawaii |
| Authorized Official Name and Position | Richard a Ridao (OWNER) |
| Authorized Official Contact | 8086781900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard a Ridao MD LLC Po Box 25370 Honolulu HI 96825-0370 Ph: (808) 536-0300 | Richard a Ridao MD LLC 1481 S King St Ste 343 Honolulu HI 96814-2602 Ph: (808) 678-1900 |
| NPI Number | 1932304565 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 10/23/2007 |
| Medicare PECOS PAC ID | 9335232263 |
|---|---|
| Medicare Enrollment ID | O20070907000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932304565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 6904 (Hawaii) | Primary |
| Provider Name | Richard a Ridao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730122060 PECOS PAC ID: 6507889839 Enrollment ID: I20060112000315 |
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