| Heajung Ruesing Md Inc | |
|
868 Ululani St #108 Hilo HI 96720-3913 | |
| (808) 935-2389 | |
| (808) 935-5109 |
| Full Name | Heajung Ruesing Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 868 Ululani St, Hilo, Hawaii |
| Authorized Official Name and Position | Heajung Ruesing (PRESIDENT) |
| Authorized Official Contact | 8089352389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heajung Ruesing Md Inc 868 Ululani St #108 Hilo HI 96720-3913 Ph: (808) 935-2389 | Heajung Ruesing Md Inc 868 Ululani St #108 Hilo HI 96720-3913 Ph: (808) 935-2389 |
| NPI Number | 1245289933 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 06/26/2014 |
| Medicare PECOS PAC ID | 0840551099 |
|---|---|
| Medicare Enrollment ID | O20180302001638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245289933 | NPI | - | NPPES |
| A0091981 | Other | HI | HMSA |
| 743824 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD7563 (Hawaii) | Primary |
| 208000000X | Pediatrics | MD7563 (Hawaii) | Secondary |
| Provider Name | Heajung Nmn Ruesing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912195322 PECOS PAC ID: 1254356769 Enrollment ID: I20051013000027 |
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