Healthcare Provider Details

I. General information

NPI: 1538624069
Provider Name (Legal Business Name): GALAXY URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2019
Last Update Date: 02/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 SOUTH BERETANIA ST C210 B
HONOLULU HI
96813
US

IV. Provider business mailing address

PO BOX 15788
HONOLULU HI
96830-5788
US

V. Phone/Fax

Practice location:
  • Phone: 808-521-1165
  • Fax: 808-521-1185
Mailing address:
  • Phone: 808-398-2753
  • Fax: 808-521-1165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. INAM U RAHMAN
Title or Position: PRESIDENT
Credential: M.D
Phone: 808-398-2753