Individual
DR. SCOTT THOMAS PADAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 696-1501
Mailing address
3090 WAILANI RD, HONOLULU, HI 96813-1006
(808) 550-2680
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10619
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24929203
—
HI
05
—
24929204
—
HI
01
—
A011
TRICARE
—
Enumeration date
10/11/2006
Last updated
06/05/2008
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