Tarah L Henderson-toderic, DO | |
56-117 Pualalea St, Kahuku, HI 96731-2052 | |
(706) 414-4731 | |
Not Available |
Full Name | Tarah L Henderson-toderic |
---|---|
Gender | Female |
Speciality | Family Medicine - Sports Medicine |
Location | 56-117 Pualalea St, Kahuku, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669950879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 85873 (Georgia) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 2572 (Alabama) | Primary |
Entity Name | Kahuku Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1245430065 PECOS PAC ID: 1557446697 Enrollment ID: O20080312000783 |
Mailing Address | Practice Location Address |
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Tarah L Henderson-toderic, DO 56-117 Pualalea St, Kahuku, HI 96731-2052 Ph: (808) 293-6236 | Tarah L Henderson-toderic, DO 56-117 Pualalea St, Kahuku, HI 96731-2052 Ph: (706) 414-4731 |
Vincent Giani, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56-119 Pualalea St, Kahuku, HI 96731 Phone: 808-293-9231 | |
Dr. Thomas Sperandeo, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 57-101 W Kuilima Loop Apt 163, Kahuku, HI 96731 Phone: 808-349-5692 Fax: 848-210-9601 | |
Dr. Jeff D. Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56-565 Kamehameha Hwy, Kahuku, HI 96731 Phone: 808-432-3900 | |
Dr. Irene Hwang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56-119 Pualalea St, Kahuku, HI 96731 Phone: 808-293-9261 | |
Stephan Lebamoff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 56-117 Pualalea St, Kahuku, HI 96731 Phone: 808-293-9221 Fax: 808-293-6290 |