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General NPI Number Information
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NPI Number | 1770615346
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Entity Type | Organization
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Legal Business Name | JEFFREY M DROOD MD LLC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1962 E VINEYARD ST
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City | WAILUKU
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State | HI
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Zip | 96793-1715
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Country | US
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Telephone | 808-244-3278
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Fax | 808-244-3225
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Provider Business Mailing Address
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Address Line | 1962 E VINEYARD ST
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City | WAILUKU
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State | HI
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Zip | 96793-1715
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Country | US
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Telephone | 808-244-3278
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Fax | 808-244-3225
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Authorized Official
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Title or Position | OWNER AND MEMBER
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Name | JEFFREY M DROOD
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Credential | MD
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Telephone | 808-244-3278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 20130329
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License Number State | HI
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