Individual
TED J. WATANABE
Active
Individual
TED J. WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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