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Individual

JASON T CALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
85 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 442-5700
(855) 827-2321
Mailing address
85 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 442-5700
(855) 827-2321

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101237735
VA
207RC0000X
Cardiovascular Disease Physician
22033
WV
207RI0011X
Interventional Cardiology Physician
0101237735
VA
207RI0011X
Interventional Cardiology Physician
22033
WV
207RI0011X
Interventional Cardiology Physician
Primary
23299
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000875693
WV BLUE SHIELD GROUP
WV
01
001727254
WV BLUE SHIELD
05
010186099
VA
01
176481
ANTHEM PROFESSIONAL
01
2131008
MAMSI PROFESSIONAL
05
3810003816
WV
01
3810003817
WV MEDICAID GROUP
WV
05
412140600
MD
01
550941600
MD MEDICAID GROUP
MD
01
9332051
WV MEDICARE GRP-OLD
WV
01
9371521
WV MEDICARE GRP-NEW
WV
01
94909
SENTARA PROFESSIONAL
01
C00085
VA MEDICARE B - GROUP #
01
P00844458
RR MEDICARE
VA
Enumeration date
04/08/2006
Last updated
05/15/2025
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