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Individual

ROSSINI C. BOTEV

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
207RN0300X
Nephrology Physician
Primary
MD-11290
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000226944
HMSA BILLING NUMBER
HI
05
49922901
HI
Enumeration date
08/19/2006
Last updated
10/10/2007
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