| Doctor Name: | SISAR MEDIOR PADERES |
| NPI Number: | 1982726303 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD - 4865 |
| Business Practice Address: | 99-902 Moanalua Rd Aiea, HI - 967013252 |
| Business Phone Number: | 8084845426 |
| Business Fax Number: | |
| Mailing Address: | 4308 Piikea Pl, HONOLULU |
| State: | HI |
| Postal Code: | 968181840 |
| Phone Number: | 8084229828 |
| Fax Number: | |
| NPI Enumeration Date: | 04/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD - 4865 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |