# PHYSICIAN PROVIDERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hawaii Ueno Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639341886
- **Authorized official:** DR. JOHN RADY MAGAURAN M.D. (PRESIDENT)
- **Authorized official phone:** (808) 926-9911

## Contact information

- **Practice address:** 1777 ALA MOANA BLVD, LOBBY LEVEL - ILIKAI HOTEL, HONOLULU, HI 96815-1603
- **Practice address phone:** (808) 926-9911
- **Practice address fax:** (808) 949-7771
- **Mailing address:** 1777 ALA MOANA BLVD, LOBBY LEVEL - ILIKAI HOTEL, HONOLULU, HI 96815-1603
- **Mailing address phone:** (808) 926-9911
- **Mailing address fax:** (808) 949-7771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 03/27/2008