Individual
RICHARD D TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-7561
HI
208M00000X
Hospitalist Physician
Primary
MD-7561
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000055384
HMSA BILLING NUMBER
HI
05
—
048663-01
—
HI
Enumeration date
02/20/2007
Last updated
05/12/2021
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