| Frederick A. Harada, M.d. Llc | |
|
1380 Lusitana St Suite 909 Honolulu HI 96813-2421 | |
| (808) 585-7771 | |
| (808) 585-7774 |
| Full Name | Frederick A. Harada, M.d. Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1380 Lusitana St, Honolulu, Hawaii |
| Authorized Official Name and Position | Frederick A Harada (PHYSICIAN) |
| Authorized Official Contact | 8085857771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick A. Harada, M.d. Llc Mailcode 47866 Box 1300 Honolulu HI 96807-1300 Ph: (808) 941-3363 | Frederick A. Harada, M.d. Llc 1380 Lusitana St Suite 909 Honolulu HI 96813-2421 Ph: (808) 585-7771 |
| NPI Number | 1467517185 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 07/30/2008 |
| Medicare PECOS PAC ID | 2668360595 |
|---|---|
| Medicare Enrollment ID | O20040310000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467517185 | NPI | - | NPPES |
| 10693824 | Other | HI | HAWAII WITHHOLDING ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 11974 (Hawaii) | Primary |
| Provider Name | Frederick A Harada |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144313875 PECOS PAC ID: 7911895859 Enrollment ID: I20051013000010 |
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