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Organization

S.SIRA,M.D.,FACOG,INC

Active
Other names
sira,santad,md,facog,inc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANTAD - SIRA M.D. (PRESIDENT)
(808) 322-3434
Entity
Organization

Contact information

Practice address
79-7266 MAMALAHOA HWY, HONALO BUSINESS CENTER#4, KEALAKEKUA, HI 96750-7919
(808) 322-3434
(808) 322-4011
Mailing address
79-7266 MAMALAHOA HWY, HONALO BUSINESS CENTER#4, KEALAKEKUA, HI 96750-7919
(808) 322-3434
(808) 322-4011

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
02682
HI
261Q00000X
Clinic/Center
37681
OH
261Q00000X
Clinic/Center
A029663
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03541901
KAISER
HI
05
03541902
HI
Enumeration date
12/01/2006
Last updated
08/22/2020
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