Individual
DR. RYAN T MATSUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 521-9551
(808) 536-3008
Mailing address
500 ALA MOANA BLVD, TOWER 4, SUITE 510, HONOLULU, HI 96813-4920
(808) 521-9551
(808) 536-3008
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD-9168
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075184
—
HI
01
—
MD9168-03
MDX HAWAII
HI
01
—
XPY-193319
MEDI-CAL
CA
Enumeration date
05/26/2006
Last updated
08/11/2011
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