Organization Name: | RUSSELL N HARADA MD INC |
NPI Number: | 1528223971 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUSSELL N HARADA (OWNER) |
Mailing Address: | 98-1079 Moanalua Road Suite 620 Aiea |
State: | HI US |
Postal Code: | 967014716 |
Phone Number: | 8084867775 |
Fax Number: | 8084865558 |
NPI Enumeration Date: | 07/25/2008 |
NPI Last Update Date: | 10/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |