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General NPI Number Information
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NPI Number | 1689883944
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Entity Type | Individual
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Provider Name | RODNEY W TAFT M.D., M.TH.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 78-7039 KAMEHAMEHA III RD APT 141
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City | KAILUA KONA
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State | HI
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Zip | 96740-2595
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Country | US
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Telephone | 203-788-3618
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Fax |
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Provider Business Mailing Address
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Address Line | 78-7039 KAMEHAMEHA III RD APT 141
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City | KAILUA KONA
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State | HI
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Zip | 96740-2595
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Country | US
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Telephone | 203-788-3618
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 193553
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License Number State | NY
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