Randall Charles Blake in Honolulu - Urology

Randall Charles Blake - NPI 1447226055

Randall Charles Blake is a Urology in Honolulu, Hawaii. Randall Charles Blake practices all healthcare services and medical treatments related to Urology. The NPI Number for Randall Charles Blake is 1447226055. The last update date is 2012-06-28.

Randall Charles Blake's current location address is 1329 Lusitana St, Honolulu, Hawaii. You can contact this provider via phone number 8085225055 and fax number 8085246306. The mailing address for Randall Charles Blake is 1329 Lusitana St, Honolulu, Hawaii. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall Charles Blake
Address 1329 Lusitana St, Honolulu, Hawaii
Phone Number 8085225055
Fax Number 8085246306
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1447226055
Provider Enumeration Date 2006-02-23
Last Updated Date 2012-06-28

Provider Mailing Address Detail

Address 1329 Lusitana St
City Honolulu
State Hawaii (HI)
Post Code 968132429
Phone Number 8085225055
Fax Number 8085246306

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No 14192
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100171930A IN --

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FAQs about Randall Charles Blake

What is the Randall Charles Blake's unique identification number?

The Randall Charles Blake has been assigned the NPI (National Provider Identifier) Number 1447226055 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Randall Charles Blake is geographically located?

The Randall Charles Blake is physically situated at the following location: 1329 Lusitana St, Honolulu, HI, 968132429.

What is Randall Charles Blake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Randall Charles Blake is Urology, and the corresponding taxonomy classification code for this specialized field is 208800000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1447226055 to Randall Charles Blake?

The Randall Charles Blake received its 1447226055 assignment from the Centers for Medicare & Medicaid Services on 2006-02-23.

As of what date were the details pertaining to Randall Charles Blake last refreshed?

The information related to the Randall Charles Blake, including its address, specialty, and other relevant details, was last updated on 2012-06-28.

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