MEDICARE: CARL F HODEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD-2688	HI
2	2083X0100X	Occupational Medicine Physician	MD-2688	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A0042893	OTHER	HI	HMSA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184779217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARL F HODEL M.D.

Provider Business Mailing Address
First Line	:	91-2135 FORT WEAVER RD
Second Line	:	SUITE 170
City	:	EWA BEACH
State	:	HI
Zip	:	96706-1940
Country	:	US
Telephone Number	:	808-676-5331
Fax Number	:	808-671-2931

Provider Business Practice Location Address
First Line	:	91-2135 FORT WEAVER RD
Second Line	:	SUITE 170
City	:	EWA BEACH
State	:	HI
Zip	:	96706-1940
Country	:	US
Telephone Number	:	808-676-5331
Fax Number	:	808-671-2931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/31/2014

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Directions to “ CARL F HODEL M.D.” Practice Location

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