Individual
DR. RUSSELL TADASHI OGAWA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99-128 AIEA HEIGHTS DR, SUITE 211, AIEA, HI 96701-3925
(808) 488-8441
(808) 487-2003
Mailing address
99-128 AIEA HEIGHTS DR, SUITE 211, AIEA, HI 96701-3925
(808) 488-8441
(808) 487-2003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD10593
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252361-01
—
HI
Enumeration date
06/14/2006
Last updated
07/08/2007
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