=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336299908
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEMATOLOGY ONCOLOGY ASSOCIATES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 550 S BERETANIA ST STE 202
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96813-2496
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-585-2900
-----------------------------------------------------
Fax | 808-585-2994
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 550 S BERETANIA ST STE 202
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96813-2496
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-585-2900
-----------------------------------------------------
Fax | 808-585-2994
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. NIRANJAN RAJDEV
-----------------------------------------------------
Credential | MD, FACP
-----------------------------------------------------
Telephone | 808-585-2900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QX0200X
-----------------------------------------------------
Taxonomy Name | Oncology Clinic/Center
-----------------------------------------------------
License Number | 2612
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number | 2612
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------