Russell G Tacata in Honolulu - General Practice
Russell G Tacata - NPI 1356341002
Russell G Tacata is a General Practice in Honolulu, Hawaii. Russell G Tacata practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell G Tacata is 1356341002. The last update date is 2023-08-03.
Russell G Tacata's current location address is 1619 Liliha Street, Honolulu, Hawaii. You can contact this provider via phone number 8085315454 and fax number 8085315451. The mailing address for Russell G Tacata is 1619 Liliha Street, Honolulu, Hawaii. To know further, please read the information below!
Provider Profile Detail
Provider Name | Russell G Tacata |
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Address | 1619 Liliha Street, Honolulu, Hawaii |
Phone Number | 8085315454 |
Fax Number | 8085315451 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1356341002 |
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Provider Enumeration Date | 2005-07-22 |
Last Updated Date | 2023-08-03 |
Provider Mailing Address Detail
Address | 1619 Liliha Street |
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City | Honolulu |
State | Hawaii (HI) |
Post Code | 968173152 |
Phone Number | 8085315454 |
Fax Number | 8085315451 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | 9570 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7892401 | HI | -- | |
020779-5 | HMSA |
Post Comment/ Review Below
What is the unique identifier code issued to Russell G Tacata by the Centers for Medicare & Medicaid Services (CMS)?
The Russell G Tacata has been assigned the NPI (National Provider Identifier) 1356341002. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Russell G Tacata is physically located?
The Russell G Tacata is situated at the following address: 1619 Liliha Street, Honolulu, HI 968173152.
What is Russell G Tacata's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Russell G Tacata is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.
When did the Russell G Tacata receive its 1356341002?
The Russell G Tacata was issued its 1356341002 on 2005-07-22, which is the date when the organization was assigned this unique identifier.
When was the information related to Russell G Tacata most recently updated or refreshed?
The details pertaining to the Russell G Tacata, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-03.