Ogawa, Russell Tadashi

Ogawa, Russell Tadashi is an individual health care provider with primary practice located at 99-128 Aiea Heights Dr Suite 211, Aiea HI 96701-3925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ogawa, Russell Tadashi can be contacted via phone (808) 488-8441.

Contact Information

Primary practice address
99-128 Aiea Heights Dr Suite 211 Aiea HI 96701-3925
Phone: (808) 488-8441
Fax: (808) 487-2003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD10593 Hawaii

Profile Details

NPI number 1396788527
LBN Legal business name Ogawa, Russell Tadashi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 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 1396788527 NPPES
Hawaii MEDICAID 252361-01

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