Individual
DICKRAN O. BORANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 170 HUALALAI RD, SUITE C110, KAILUA KONA, HI 96740-1780
(808) 329-9211
(808) 329-0009
Mailing address
75 170 HUALALAI RD, SUITE C110, KAILUA KONA, HI 96740-1780
(808) 329-9211
(808) 329-0009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 6802
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05965201
—
HI
Enumeration date
07/07/2005
Last updated
07/08/2007
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