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PACIFIC RADIOLOGY GROUP INC NPI 1871577536


NPI Information

NPI: 1871577536
Provider Name: PACIFIC RADIOLOGY GROUP INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
347 KUAKINI ST
HONOLULU, HI
ZIP 96817
Phone: (808) 522-0190
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PACIFIC RADIOLOGY GROUP INC is a specialist in Honolulu, HI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PACIFIC RADIOLOGY GROUP INC NPI is 1871577536. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

347 KUAKINI ST
HONOLULU, HI
ZIP 96817-306
Phone: (808) 522-0190

The provider's authorized official is Gregory Dunn .
The authorized official title is Owner and has the following contact phone number (808) 522-0190.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 10/31/2023.


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
1174400000XSpecialistMD7570HAWAIINo
2174400000XSpecialistMD7714HAWAIINo
3174400000XSpecialistMD11118HAWAIINo
4174400000XSpecialistMD11388HAWAIINo
5174400000XSpecialistMD11796HAWAIINo
6174400000XSpecialistMD12846HAWAIINo
7174400000XSpecialistMD9450HAWAIINo
8174400000XSpecialistMD9646HAWAIINo
92085R0202XRadiologyDiagnostic RadiologyMD14763HAWAIINo
102085R0202XRadiologyDiagnostic RadiologyMD15853HAWAIINo
11174400000XSpecialistMD3504HAWAIINo
12174400000XSpecialistMD6106HAWAIINo
13174400000XSpecialistMD3593HAWAIIYes

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
1CP2650OTHERMEDICARE 'B' RAILROAD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.