Healthcare Provider Details

I. General information

NPI: 1720990823
Provider Name (Legal Business Name): RAPHAEL RAMAN DPM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65-1230 HAWAII BELT RD A10
WAIMEA HI
96743
US

IV. Provider business mailing address

91-986 IKULANI ST
EWA BEACH HI
96706-2208
US

V. Phone/Fax

Practice location:
  • Phone: 808-233-8772
  • Fax:
Mailing address:
  • Phone: 808-233-8772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. RAPHAEL RAMAN
Title or Position: OWNER/PODIATRIST
Credential: DPM
Phone: 808-233-8772