Healthcare Provider Details

I. General information

NPI: 1790098689
Provider Name (Legal Business Name): RIPNEET PUAR M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1356 LUSITANA ST UH TOWER , 7 FLOOR
HONOLULU HI
96813-2409
US

IV. Provider business mailing address

435 SEASIDE AVE UNIT 706
HONOLULU HI
96815-2639
US

V. Phone/Fax

Practice location:
  • Phone: 808-586-2898
  • Fax:
Mailing address:
  • Phone: 808-230-7351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMDR-5978
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: