Doctor Name: | RUSSELL N HARADA |
NPI Number: | 1730143884 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 6541 |
Business Practice Address: | 98-1079 Moanalua Rd Suite 620 Aiea, HI - 967014713 |
Business Phone Number: | 8084867775 |
Business Fax Number: | |
Mailing Address: | 1585 Kapiolani Blvd, Suite 1800 HONOLULU |
State: | HI |
Postal Code: | 968144522 |
Phone Number: | 8089413363 |
Fax Number: | 8089490483 |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 10/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 6541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
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. |