# RANDALL J. NITTA, MD, LLC

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

## Provider details

- **NPI number:** 1134553597
- **Authorized official:** DR. RANDALL JIRO NITTA MD (MEMBER)
- **Authorized official phone:** (808) 260-4404

## Contact information

- **Practice address:** 98-1247 KAAHUMANU ST STE 306, AIEA, HI 96701-5301
- **Practice address phone:** (808) 484-2904
- **Practice address fax:** (808) 484-2864
- **Mailing address:** 98-1247 KAAHUMANU ST STE 306, AIEA, HI 96701-5301
- **Mailing address phone:** (808) 260-4404
- **Mailing address fax:** (808) 484-2864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9319 | HI | Yes |

## Other

- **Enumeration date:** 08/21/2013
- **Last updated:** 06/25/2019