Kishida, Gary Tadashi

Kishida, Gary Tadashi is an individual health care provider with primary practice located at 88 Piikoi St. Apt. 3905, Honolulu HI 96814-4285. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kishida, Gary Tadashi can be contacted via phone (808) 596-2445.

Contact Information

Primary practice address
88 Piikoi St. Apt. 3905 Honolulu HI 96814-4285
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD419268 Pennsylvania

Profile Details

NPI number 1487681490
LBN Legal business name Kishida, Gary Tadashi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487681490 NPPES
California MEDICAID 00G236710

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