Individual
JAMES R FREDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 KELE ST STE 401, KAHULUI, HI 96732-3406
(808) 250-4427
(808) 873-6429
Mailing address
430 KELE ST STE 401, KAHULUI, HI 96732-3406
(808) 250-4427
(808) 873-6429
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13879
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000177604
ANTHEM
OH
01
—
0702306
UNITED HEALTH CARE
OH
05
—
2139519
—
OH
01
—
2188078
AETNA
OH
01
—
330359461026
CARESOURCE
OH
Enumeration date
08/11/2005
Last updated
09/15/2011
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