Individual
DR. ROXANNE BHATTACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
(808) 243-2385
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-6464
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD11773
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232850
HMSA - 65CP - HMSA QUEST
HI
01
—
479743
UHA
HI
01
—
52312701
ALOHA CARE QUEST
HI
05
—
52312701
—
HI
01
—
990176859000
TRICARE- CHAMPUS
HI
Enumeration date
07/08/2006
Last updated
03/15/2019
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