Healthcare Provider Details

I. General information

NPI: 1427041672
Provider Name (Legal Business Name): BENEDICTO R GALINDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BENEDICTO RAMOS GALINDO MD

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 05/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-366 PUPUPANI ST. #118
WAIPAHU HI
96797
US

IV. Provider business mailing address

94-366 PUPUPANI ST. #118
WAIPAHU HI
96797
US

V. Phone/Fax

Practice location:
  • Phone: 808-676-0865
  • Fax: 808-676-1970
Mailing address:
  • Phone: 808-676-0865
  • Fax: 808-676-1970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD-6605
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: