| Lorraine Sonoda-fogel Md Inc. | |
|
1190 Waianuenue Ave Hilo HI 96720-2020 | |
| (808) 974-4700 | |
| Not Available |
| Full Name | Lorraine Sonoda-fogel Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1190 Waianuenue Ave, Hilo, Hawaii |
| Authorized Official Name and Position | Lorraine Sonoda-fogel (OWNER) |
| Authorized Official Contact | 8082863484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine Sonoda-fogel Md Inc. 1393 Wailuku Dr Hilo HI 96720-1217 Ph: () - | Lorraine Sonoda-fogel Md Inc. 1190 Waianuenue Ave Hilo HI 96720-2020 Ph: (808) 974-4700 |
| NPI Number | 1730369497 |
|---|---|
| Provider Enumeration Date | 11/10/2007 |
| Last Update Date | 11/10/2007 |
| Medicare PECOS PAC ID | 5496837486 |
|---|---|
| Medicare Enrollment ID | O20080130000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730369497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7388 (Hawaii) | Primary |
| Provider Name | Lorraine Sonoda Fogel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326065129 PECOS PAC ID: 2264424811 Enrollment ID: I20040401001512 |
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