| Sira,santad,md,facog,inc | |
|
79-7266 Mamalahoa Hwy Honalo Business Center#4 Kealakekua HI 96750-7919 | |
| (808) 322-3434 | |
| (808) 322-4011 |
| Full Name | Sira,santad,md,facog,inc |
|---|---|
| Speciality | Clinic/center |
| Location | 79-7266 Mamalahoa Hwy, Kealakekua, Hawaii |
| Authorized Official Name and Position | Santad - Sira (PRESIDENT) |
| Authorized Official Contact | 8083223434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sira,santad,md,facog,inc 79-7266 Mamalahoa Hwy Honalo Business Center#4 Kealakekua HI 96750-7919 Ph: (808) 322-3434 | Sira,santad,md,facog,inc 79-7266 Mamalahoa Hwy Honalo Business Center#4 Kealakekua HI 96750-7919 Ph: (808) 322-3434 |
| NPI Number | 1972671642 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972671642 | NPI | - | NPPES |
| 03541901 | Other | HI | KAISER |
| 03541902 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 02682 (Hawaii) | Primary |
| 261Q00000X | Clinic/center | A029663 (California) | Secondary |
| 261Q00000X | Clinic/center | 37681 (Ohio) | Secondary |
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› Verified 9 days ago
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