# RICHARD A RIDAO MD LLC

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

## Provider details

- **NPI number:** 1932304565
- **Authorized official:** RICHARD A RIDAO MD (OWNER)
- **Authorized official phone:** (808) 678-1900

## Contact information

- **Practice address:** 1481 S KING ST STE 343, HONOLULU, HI 96814-2602
- **Practice address phone:** (808) 678-1900
- **Mailing address:** PO BOX 25370, HONOLULU, HI 96825-0370
- **Mailing address phone:** (808) 536-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 6904 | HI | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 10/23/2007