Royal Randolph in Wailuku - Addiction Medicine
Royal Randolph - NPI 1881725414
Royal Randolph is a Addiction Medicine in Wailuku, Hawaii. Royal Randolph practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Royal Randolph is 1881725414. The last update date is 2013-10-18.
Royal Randolph's current location address is Po Box 1441, Wailuku, Hawaii. You can contact this provider via phone number 8082449677 and fax number 8082424805. The mailing address for Royal Randolph is Po Box 1441, Wailuku, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Royal Randolph |
|---|---|
| Address | Po Box 1441, Wailuku, Hawaii |
| Phone Number | 8082449677 |
| Fax Number | 8082424805 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881725414 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2013-10-18 |
Provider Mailing Address Detail
| Address | Po Box 1441 |
|---|---|
| City | Wailuku |
| State | Hawaii (HI) |
| Post Code | 967936441 |
| Phone Number | 8082449677 |
| Fax Number | 8082424805 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | MD 4946 |
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Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 017302-01 | HI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Royal Randolph by the Centers for Medicare & Medicaid Services?
The Royal Randolph has been assigned the NPI (National Provider Identifier) 1881725414 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Royal Randolph's facilities are geographically located?
The facilities of Royal Randolph are physically situated at the following location: Po Box 1441, Wailuku, HI, 967936441.
What is Royal Randolph's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Royal Randolph is Addiction Medicine, and the taxonomy code that categorizes this field of expertise is 2084A0401X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881725414 to Royal Randolph?
The Centers for Medicare & Medicaid Services originally issued the 1881725414 to Royal Randolph on 2007-03-07.
When was the information regarding Royal Randolph most recently updated?
The details pertaining to the Royal Randolph, including its address, specialty, and other relevant information, were last refreshed on 2013-10-18.