Organization
RANDALL J. NITTA, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL JIRO NITTA MD (MEMBER)
(808) 260-4404
Entity
Organization
Contact information
Practice address
98-1247 KAAHUMANU ST STE 306, AIEA, HI 96701-5301
(808) 484-2904
(808) 484-2864
Mailing address
98-1247 KAAHUMANU ST STE 306, AIEA, HI 96701-5301
(808) 260-4404
(808) 484-2864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9319
HI
Other
Enumeration date
08/21/2013
Last updated
06/25/2019
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