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RICHARD PODOLNY MD LLC NPI 1619635034


NPI Information

NPI: 1619635034
Provider Name: RICHARD PODOLNY MD LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 12D2003286

Address:
1188 BISHOP ST STE 3306
HONOLULU, HI
ZIP 96813
Phone: (808) 524-0754
Get Directions

RICHARD PODOLNY MD LLC is a family medicine in Honolulu, HI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RICHARD PODOLNY MD LLC NPI is 1619635034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1188 BISHOP ST STE 3306
HONOLULU, HI
ZIP 96813-313
Phone: (808) 524-0754
Fax: (808) 545-4268

The provider's authorized official is Richard Podolny .
The authorized official title is Owner and has the following contact phone number (808) 386-2873.

The CLIA number assigned to this NPI record is 12D2003286 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2021 and was last updated on 12/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1597247MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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