# RICHARD S OH MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073881009
- **Authorized official:** DR. RICHARD S OH M,D. (OWNER)
- **Authorized official phone:** (808) 677-7793

## Contact information

- **Practice address:** 91-2139 FORT WEAVER RD, SUITE 309, EWA BEACH, HI 96706-3607
- **Practice address phone:** (808) 677-7793
- **Practice address fax:** (808) 677-7868
- **Mailing address:** 91-2139 FORT WEAVER RD, SUITE 309, EWA BEACH, HI 96706-3607
- **Mailing address phone:** (808) 677-7793
- **Mailing address fax:** (808) 677-7868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD7689 | HI | Yes |

## Other

- **Enumeration date:** 12/05/2011
- **Last updated:** 12/05/2011
