| Aaron J Small Md Llc | |
|
98-1079 Moanalua Rd Aiea HI 96701-4713 | |
| (808) 486-6000 | |
| Not Available |
| Full Name | Aaron J Small Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 98-1079 Moanalua Rd, Aiea, Hawaii |
| Authorized Official Name and Position | Aaron Justin Small (OWNER) |
| Authorized Official Contact | 8084252376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron J Small Md Llc 95-390 Kuahelani Ave # 3ac-131 Mililani HI 96789-1192 Ph: (808) 425-2376 | Aaron J Small Md Llc 98-1079 Moanalua Rd Aiea HI 96701-4713 Ph: (808) 486-6000 |
| NPI Number | 1912440090 |
|---|---|
| Provider Enumeration Date | 11/22/2016 |
| Last Update Date | 02/14/2022 |
| Medicare PECOS PAC ID | 8527349737 |
|---|---|
| Medicare Enrollment ID | O20161230001318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912440090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD18102 (Hawaii) | Primary |
| Provider Name | Aaron Justin Small |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407015399 PECOS PAC ID: 0446475107 Enrollment ID: I20150527002063 |
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Luis J. Ragunton, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1079 Moanalua Rd, Suite 440, Aiea, HI 96701 Phone: 808-488-8750 Fax: 808-487-5910 | |
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