Individual
DR. FREDERICK W. MERCHANT
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
2085B0100X
Body Imaging Physician
Primary
MD-6655
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000063198
HMSA BILLING NUMBER
HI
05
—
054812-01
—
HI
Enumeration date
12/19/2006
Last updated
10/15/2007
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