Individual
DR. RANDY F NIKLASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2290
Mailing address
3916 STATE ST, #300, SANTA BARBARA, CA 93105-5602
(805) 563-3011
(805) 564-5087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-6350
HI
207R00000X
Internal Medicine Physician
MD-6350
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03199801
—
HI
Enumeration date
06/03/2006
Last updated
09/17/2010
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