Mita, Randall T.

Mita, Randall T. is an individual health care provider with primary practice located at 1010 Pensacola St , Honolulu HI 96814-2118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mita, Randall T. can be contacted via phone (808) 432-2000.

Contact Information

Primary practice address
1010 Pensacola St Honolulu HI 96814-2118
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD-5161 Hawaii

Profile Details

NPI number 1992806053
LBN Legal business name Mita, Randall T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Oct 15th, 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 1992806053 NPPES
Hawaii MEDICAID 025167-02

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