Individual
TED J. WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
347 N KUAKINI ST, HONOLULU, HI 96817-2306
(808) 522-0190
(808) 523-9068
Mailing address
321 N KUAKINI ST, SUITE 405, HONOLULU, HI 96817-2364
(808) 522-0190
(808) 523-9068
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD3504
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001215402
—
HI
05
—
0001215403
—
HI
01
—
0012773
QUEST HMSA
HI
01
—
00J0012771
QUEST HMSA
HI
01
—
012154-02
ST DEPT OF PUB SAFETY
HI
01
—
012154-03
ST DEPT OF PUB SAFETY
HI
01
—
1082145098
AETNA
HI
01
—
20124380
US DEPT OF LABOR
HI
01
—
300017130
PALMETTO GBA
HI
01
—
990157698-96817-E006
TRICARE
HI
01
—
990157698002
HAWAII ELECTRICIANS
HI
01
—
99015769896701B006
WEST REGION CLAIMS (WPS)
HI
01
—
J012771
QUEST HMSA
HI
01
—
MD3504
QUEST-QUEENS HAWAII CARE
HI
Enumeration date
04/17/2006
Last updated
02/07/2017
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