Intaraprasong, Decha
Intaraprasong, Decha is an individual health care provider with primary practice located at 3288 Moanalua Rd , Honolulu HI 96819-1469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Intaraprasong, Decha can be contacted via phone (808) 432-0000.Contact Information
Primary practice address
3288 Moanalua Rd
Honolulu HI 96819-1469
Phone: (808) 432-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD-2574 | Hawaii |
Profile Details
| NPI number | 1871693572 |
|---|---|
| LBN Legal business name | Intaraprasong, Decha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Oct 12th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871693572 | NPPES |
| Hawaii | Other | 0000018846 | HMSA BILLING NUMBER |
| Hawaii | MEDICAID | 017555-01 | HMSA BILLING NUMBER |
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