Individual
MR. RONALD A BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
449 KAPAHULU AVE STE 104, HONOLULU, HI 96815-3850
(808) 735-0007
Mailing address
449 KAPAHULU AVE STE 104, HONOLULU, HI 96815-3850
(808) 735-0007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20695
MT
207Q00000X
Family Medicine Physician
Primary
MD22584
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001361
—
HI
05
—
00185745
—
PA
Enumeration date
06/22/2005
Last updated
05/31/2023
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